Organization
ADISHIAN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT R ADISHIAN DDS (PRESIDENT)
(760) 341-9400
Entity
Organization
Contact information
Practice address
72405 PARKVIEW DR, STE. B, PALM DESERT, CA 92260-2716
(760) 341-9400
Mailing address
200 S OAK KNOLL AVE, STE. 101, PASADENA, CA 91101-2912
(626) 796-3700
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
27944
CA
Other
Enumeration date
02/03/2012
Last updated
05/11/2012
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