| Bayrakdarian Orthodontics LLC | |
|
451 Clovis Ave Suite 105 Clovis CA 93612-1194 | |
| (559) 298-4322 | |
| Not Available |
| Full Name | Bayrakdarian Orthodontics LLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 451 Clovis Ave, Clovis, California |
| Authorized Official Name and Position | Ishkhan Bayrakdarian (SOLE MBR) |
| Authorized Official Contact | 8185222121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayrakdarian Orthodontics LLC 451 Clovis Ave Suite 105 Clovis CA 93612-1194 Ph: (559) 298-4322 | Bayrakdarian Orthodontics LLC 451 Clovis Ave Suite 105 Clovis CA 93612-1194 Ph: (559) 298-4322 |
| NPI Number | 1063669356 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063669356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 50037 (California) | Primary |
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