| Imperial Kids Dental | |
|
1523 W Main St Ste 108 El Centro CA 92243-2282 | |
| (442) 283-5032 | |
| Not Available |
| Full Name | Imperial Kids Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1523 W Main St Ste 108, El Centro, California |
| Authorized Official Name and Position | Hamlet Khachatryan (OWNER) |
| Authorized Official Contact | 8183005849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Kids Dental 1523 W Main St Ste 108 El Centro CA 92243-2282 Ph: (760) 332-4030 | Imperial Kids Dental 1523 W Main St Ste 108 El Centro CA 92243-2282 Ph: (442) 283-5032 |
| NPI Number | 1659046795 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659046795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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