Individual
SAKO OHANESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.A.G.D.
Contact information
Practice address
145 S CHAPARRAL CT, SUITE # 201, ANAHEIM, CA 92808-2265
(714) 998-1646
(270) 675-9517
Mailing address
145 S CHAPARRAL CT, SUITE # 201, ANAHEIM, CA 92808-2265
(714) 998-1646
(270) 675-9517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
38213
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS38213
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528150554
NPI TYPE 2 CORPORATION
CA
Enumeration date
06/17/2013
Last updated
10/29/2019
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