Individual
MR. AVETIK RICKY KAZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
508 W. ATEN RD., IMPERIAL, CA 92251
(760) 355-4444
(760) 355-4446
Mailing address
508 W. ATEN RD., IMPERIAL, CA 92251
(818) 635-6662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS106483
CA
Other
Enumeration date
07/13/2018
Last updated
05/02/2023
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