| Asatryan & Bakhtamian Dental Corp | |
|
2644 Foothill Blvd La Crescenta CA 91214-3510 | |
| (818) 248-9988 | |
| (818) 248-0081 |
| Full Name | Asatryan & Bakhtamian Dental Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 2644 Foothill Blvd, La Crescenta, California |
| Authorized Official Name and Position | Alen Bakhtamian (DENTIST) |
| Authorized Official Contact | 8182489988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asatryan & Bakhtamian Dental Corp 2644 Foothill Blvd La Crescenta CA 91214-3510 Ph: (818) 248-9988 | Asatryan & Bakhtamian Dental Corp 2644 Foothill Blvd La Crescenta CA 91214-3510 Ph: (818) 248-9988 |
| NPI Number | 1699345934 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 09/29/2021 |
| Medicare PECOS PAC ID | 7618365784 |
|---|---|
| Medicare Enrollment ID | O20211021001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699345934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Alen Bakhtamian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639350739 PECOS PAC ID: 8527456698 Enrollment ID: I20211021001816 |
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