Organization
ALEN BAKHTAMIAN PROFESSIONAL DENTAL CORPORATION FAIR OAKS SPECIALTY
Active
Other names
Paradise Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
AURORA GIL (ASSISTANT MANAGER)
(818) 896-0043
Entity
Organization
Contact information
Practice address
10059 LAUREL CANYON BLVD, STE #A, PACOIMA, CA 91331-3847
(818) 896-0043
(818) 896-0054
Mailing address
10059 LAUREL CANYON BLVD, STE #A, PACOIMA, CA 91331-3847
(818) 896-0043
(818) 896-0054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39753
CA
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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