Organization
HAMLET KHACHATRYAN DDS, INC.
Active
Other names
Imperial Dental Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMLET KHACHATRYAN DDS (OWNER/PRESIDENT)
(818) 300-5849
Entity
Organization
Contact information
Practice address
1698 CRUICKSHANK DRIVE, SUITE B, EL CENTRO, CA 92243
(760) 970-8754
Mailing address
2022 ROSITA AVE, BURBANK, CA 91504-2821
(818) 300-5849
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
06/14/2022
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