| Bayrakdarian Tulare, D.m.d., Inc., A Professional Corporation | |
|
1450 E Prosperity Ave Tulare CA 93274-8054 | |
| (559) 377-4000 | |
| (559) 686-2469 |
| Full Name | Bayrakdarian Tulare, D.m.d., Inc., A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1450 E Prosperity Ave, Tulare, California |
| Authorized Official Name and Position | Diane Wright (ENROLLMENT OFFICER) |
| Authorized Official Contact | 5598371063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayrakdarian Tulare, D.m.d., Inc., A Professional Corporation 6688 N Cedar Ave Fresno CA 93710-4401 Ph: (559) 837-1063 | Bayrakdarian Tulare, D.m.d., Inc., A Professional Corporation 1450 E Prosperity Ave Tulare CA 93274-8054 Ph: (559) 377-4000 |
| NPI Number | 1013515196 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013515196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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