| Gallatin Dental Group | |
|
10805 Paramount Blvd Suite B Downey CA 90241 | |
| (562) 869-1686 | |
| (562) 861-1672 |
| Full Name | Gallatin Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 10805 Paramount Blvd, Downey, California |
| Authorized Official Name and Position | Steve Arthur Aivazian (SECRETARY) |
| Authorized Official Contact | 5628691686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallatin Dental Group 10805 Paramount Blvd Suite B Downey CA 90241 Ph: (562) 869-1686 | Gallatin Dental Group 10805 Paramount Blvd Suite B Downey CA 90241 Ph: (562) 869-1686 |
| NPI Number | 1093861882 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 06/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093861882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41887 (California) | Primary |
| 122300000X | Dentist | 47500 (California) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 42015 (California) | Secondary |
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