Organization
ARMEN MARDIROSSIAN PROFESSIONAL DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMEN MARDIROSSIAN D.D.S (OWNER)
(714) 000-0000
Entity
Organization
Contact information
Practice address
13197 CENTRAL AVE STE 201, CHINO, CA 91710-4178
(714) 000-0000
Mailing address
13197 CENTRAL AVE STE 201, CHINO, CA 91710-4178
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
45919
CA
Other
Enumeration date
09/23/2016
Last updated
03/23/2017
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