Organization
ARAM ARAKELYAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARAM ARAKELYAN (OWNER)
(626) 791-0100
Entity
Organization
Contact information
Practice address
720 N LAKE AVE STE 7, PASADENA, CA 91104-5810
(626) 791-0100
Mailing address
720 N LAKE AVE STE 7, PASADENA, CA 91104-5810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G89975-01
DENTICAL PROVIDER ID
CA
01
—
G93410-01
DENTICAL PROVIDER ID
CA
Enumeration date
03/30/2007
Last updated
05/29/2015
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