Individual
DR. ALEXANDER MAZRATIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1110 LONGFELLOW DR, SUITE B, BEAUMONT, TX 77706-4820
(409) 898-2068
Mailing address
1110 LONGFELLOW DR, SUITE B, BEAUMONT, TX 77706-4820
(409) 898-2068
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17151
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007762001
—
TX
Enumeration date
08/14/2006
Last updated
07/21/2022
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