Organization
PAL, AZATYAN, KHACHATRYAN, A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Imperial Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMLET KHACHATRYAN DDS (OWNER)
(818) 300-5849
Entity
Organization
Contact information
Practice address
1502 S LA BRUCHERIE RD STE A, EL CENTRO, CA 92243-9495
(760) 282-3556
Mailing address
1698 CRUICKSHANK DR STE B, EL CENTRO, CA 92243-1462
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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