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Organization

BAYRAKDARIAN CLOVIS I, D.M.D., INC., A PROFESSIONAL DENTAL CORPORATION

Active
Other names
Unique Orthodontics Clovis I
Organization subpart
No

Provider details

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

Contact information

Practice address
451 CLOVIS AVE STE 105, CLOVIS, CA 93612-1197
(559) 298-4322
(559) 298-5827
Mailing address
6688 N CEDAR AVE, FRESNO, CA 93710-4401
(559) 837-1063
(559) 578-8274

Taxonomy

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

Other

Enumeration date
04/07/2017
Last updated
05/21/2025
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