| Bayrakdarian Clovis I, D.m.d., Inc., A Professional Dental Corporation | |
|
451 Clovis Ave Ste 105 Clovis CA 93612-1197 | |
| (559) 298-4322 | |
| Not Available |
| Full Name | Bayrakdarian Clovis I, D.m.d., Inc., A Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 451 Clovis Ave Ste 105, Clovis, California |
| Authorized Official Name and Position | Ishkhan John Bayrakdarian (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 5593410490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayrakdarian Clovis I, D.m.d., Inc., A Professional Dental Corporation 427 W Nees Ave Ste 101 Clovis CA 93611-4434 Ph: () - | Bayrakdarian Clovis I, D.m.d., Inc., A Professional Dental Corporation 451 Clovis Ave Ste 105 Clovis CA 93612-1197 Ph: (559) 298-4322 |
| NPI Number | 1720686892 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 10/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720686892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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