Individual
ARSEN SUKIASYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8283 GROVE AVE, SUITE 208, RANCHO CUCAMONGA, CA 91730-3137
(909) 291-8625
(909) 291-8629
Mailing address
8283 GROVE AVE, SUITE 208, RANCHO CUCAMONGA, CA 91730-3137
(909) 291-8625
(909) 291-8629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49999
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G92938
—
CA
Enumeration date
12/27/2006
Last updated
07/08/2007
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