Individual
ALISA GEVORKYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3990 MING AVE, BAKERSFIELD, CA 93309-5005
(661) 323-1111
Mailing address
3990 MING AVE, BAKERSFIELD, CA 93309-5005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64683
CA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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