Organization
ASATRYAN & BAKHTAMIAN DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEN BAKHTAMIAN (DENTIST)
(818) 248-9988
Entity
Organization
Contact information
Practice address
2644 FOOTHILL BLVD, LA CRESCENTA, CA 91214-3510
(818) 248-9988
(818) 248-0081
Mailing address
2644 FOOTHILL BLVD, LA CRESCENTA, CA 91214-3510
(818) 248-9988
(818) 248-0081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
09/29/2021
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