Organization
AZATYAN, KHACATRYAN, KING, A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Imperial Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMLET KHACHATRYAN DDS (OWNER)
(818) 300-5849
Entity
Organization
Contact information
Practice address
1523 W MAIN ST STE 108, EL CENTRO, CA 92243-2282
(442) 283-5032
Mailing address
1523 W MAIN ST STE 108, EL CENTRO, CA 92243-2282
(760) 332-4030
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
11/10/2021
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