Organization
CHRIS KHATCHATURIAN DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS KHATCHATURIAN DDS (PRESIDENT)
(661) 947-9990
Entity
Organization
Contact information
Practice address
2508 E PALMDALE BLVD STE D, PALMDALE, CA 93550-4860
(661) 947-9990
(661) 947-2452
Mailing address
2508 E PALMDALE BLVD STE D, PALMDALE, CA 93550-4860
(661) 947-9990
(661) 947-2452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48480
DENTAL LICENSE
CA
Enumeration date
07/20/2018
Last updated
07/20/2018
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