Organization
RAFFI G. CHALIAN D.D.S., INC.
Active
Other names
camarillo dental studio, Camarillo Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFFI G CHALIAN DDS (OWNER)
(805) 445-1333
Entity
Organization
Contact information
Practice address
2107 PICKWICK DR, CAMARILLO, CA 93010-6427
(805) 445-1333
Mailing address
2107 PICKWICK DR, CAMARILLO, CA 93010-6427
(805) 445-1333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38972
DENTAL LICENSE NUMBER
CA
Enumeration date
06/14/2019
Last updated
11/06/2019
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