Organization
BAYRAKDARIAN ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISHKHAN BAYRAKDARIAN (SOLE MBR)
(818) 522-2121
Entity
Organization
Contact information
Practice address
451 CLOVIS AVE, SUITE 105, CLOVIS, CA 93612-1194
(559) 298-4322
Mailing address
451 CLOVIS AVE, SUITE 105, CLOVIS, CA 93612-1194
(559) 298-4322
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50037
CA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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