| Bayrakdarian Tulare, D.m.d., Inc., A Professional Corporation | |
|
1450 E Prosperity Ave Ste 101 Tulare CA 93274-8054 | |
| (559) 377-4000 | |
| (559) 479-4736 |
| Full Name | Bayrakdarian Tulare, D.m.d., Inc., A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1450 E Prosperity Ave Ste 101, Tulare, California |
| Authorized Official Name and Position | Diane Wright (ENROLLMENT OFFICER) |
| Authorized Official Contact | 5595788274 |
| 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 Ste 101 Tulare CA 93274-8054 Ph: (559) 377-4000 |
| NPI Number | 1558852863 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 06/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558852863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 50037 (California) | Primary |
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