Alen Bakhtamian Professional Dental Corporation Fair Oaks Specialty

NPI #1518292374 in Pacoima, California

Provider Information

NPI Number: 1518292374
Entity Type: Organization
Organization Name: Alen Bakhtamian Professional Dental Corporation Fair Oaks Specialty
Primary Specialty: Dentist
Enumeration Date: Oct 13, 2009
Last Updated: Oct 13, 2009

Practice Location

Address: 10059 LAUREL CANYON BLVD
Address 2: STE #A
City: Pacoima
State: California
ZIP Code: 91331-3847
Phone: (818) 896-0043

Authorized Official

Name: AURORA GIL
Title: ASSISTANT MANAGER
Phone: (818) 896-0043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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