Organization
DR. OHANNESSIAN DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL JEAN OHANNESSIAN (CEO/DDS)
(951) 769-0466
Entity
Organization
Contact information
Practice address
6350 W RAMSEY ST, STE. A, BANNING, CA 92220-3062
(951) 769-0466
Mailing address
PO BOX 618, HIGHLAND, CA 92346-0618
(951) 769-0466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
04/21/2016
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