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Organization

BAYRAKDARIAN TULARE, D.M.D., INC., A PROFESSIONAL CORPORATION

Active
Other names
Unique Orthodontics Tulare
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE WRIGHT (ENROLLMENT OFFICER)
(559) 578-8274
Entity
Organization

Contact information

Practice address
1450 E PROSPERITY AVE STE 101, TULARE, CA 93274-8054
(559) 377-4000
(559) 479-4736
Mailing address
6688 N CEDAR AVE, FRESNO, CA 93710-4401
(559) 837-1063
(559) 322-1306

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50037
CA

Other

Enumeration date
05/22/2018
Last updated
06/19/2025
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