Organization
ANTRANIG GARY KELLEYAN DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTRANIG GARY KELLEYAN (CEO)
(626) 280-4122
Entity
Organization
Contact information
Practice address
616 N GARFIELD AVE STE 404, MONTEREY PARK, CA 91754-1101
(626) 280-4122
(626) 280-4124
Mailing address
616 N GARFIELD AVE STE 404, MONTEREY PARK, CA 91754-1101
(626) 280-4122
(626) 280-4124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52409
CA
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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