Organization
SCOTT R. ADISHIAN, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT R ADISHIAN DDS (PRESIDENT)
(626) 796-3700
Entity
Organization
Contact information
Practice address
200 S OAK KNOLL AVE, SUITE 101, PASADENA, CA 91101-2912
(626) 796-3700
Mailing address
200 S OAK KNOLL AVE, SUITE 101, PASADENA, CA 91101-2912
(626) 796-3700
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
27944
CA
Other
Enumeration date
09/27/2006
Last updated
01/21/2012
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