| Latshikyan Dental Corporation | |
|
8162 E Santa Ana Canyon Rd Suite 104 Anahein CA 92808 | |
| (714) 202-0765 | |
| (714) 202-0765 |
| Full Name | Latshikyan Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8162 E Santa Ana Canyon Rd Suite 104, Anahein, California |
| Authorized Official Name and Position | Elmira A Latshikyan (OWNER DENTIST) |
| Authorized Official Contact | 7142020765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latshikyan Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | Latshikyan Dental Corporation 8162 E Santa Ana Canyon Rd Suite 104 Anahein CA 92808 Ph: (714) 202-0765 |
| NPI Number | 1558875450 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558875450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |