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Organization
ELMIRA LATSHIKYAN DENTAL CORPORATION
Active
Organization
ELMIRA LATSHIKYAN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMIRA LATSHIKYAN (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
130 S MAIN ST STE A-D, ORANGE, CA 92868-2869
(657) 218-5865
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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