Organization
RAFFI MALKOUNIAN DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFFI MALKOUNIAN (PRESIDENT)
(626) 794-0620
Entity
Organization
Contact information
Practice address
1720 E. WASHINGTON BLVD. SUITE # 200, PASADENA, CA 91104-3161
(626) 794-0620
Mailing address
1720 E. WASHINGTON BLVD. SUITE # 200, PASADENA, CA 91104-3161
(626) 794-0620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
45144
CA
Other
Enumeration date
01/24/2007
Last updated
07/22/2013
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