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Organization

AZATYAN, KHACHATRYAN, A PROFESSIONAL DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAMLET KHACHATRYAN DDS (OWNER)
(818) 300-5849
Entity
Organization

Contact information

Practice address
1502 S LA BRUCHERIE RD STE B, EL CENTRO, CA 92243-9495
(760) 993-6345
Mailing address
1502 S LA BRUCHERIE RD STE B, EL CENTRO, CA 92243-9495

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/04/2025
Last updated
09/04/2025
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