Individual
DR. VAHE DIRAN BARSOUMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1050 S BILL MARTIN DR, APT 22103, TUCSON, AZ 85745-5138
(408) 355-0402
Mailing address
1050 S BILL MARTIN DR, APT 22103, TUCSON, AZ 85745-5138
(408) 355-0402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
65024
CA
1223D0001X
Public Health Dentistry
65024
CA
1223G0001X
General Practice Dentistry
65024
CA
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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