| Bayrakdarian Clovis Ii, D.m.d., Inc., A California Professional Dental | |
|
427 W Nees Ave Ste 101 Clovis CA 93611-4434 | |
| (559) 297-2121 | |
| Not Available |
| Full Name | Bayrakdarian Clovis Ii, D.m.d., Inc., A California Professional Dental |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 427 W Nees Ave Ste 101, Clovis, California |
| Authorized Official Name and Position | Diane Wright (ENROLLMENT OFFICER) |
| Authorized Official Contact | 5595788274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayrakdarian Clovis Ii, D.m.d., Inc., A California Professional Dental 6688 N Cedar Ave Fresno CA 93710-4401 Ph: (559) 837-1063 | Bayrakdarian Clovis Ii, D.m.d., Inc., A California Professional Dental 427 W Nees Ave Ste 101 Clovis CA 93611-4434 Ph: (559) 297-2121 |
| NPI Number | 1164032074 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164032074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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