Individual
SAKO OHANESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.A.G.D.
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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