| Ismailyan Professional Dental Corporation | |
|
3612 Coffee Rd Ste A Bakersfield CA 93308-5084 | |
| (661) 587-7645 | |
| Not Available |
| Full Name | Ismailyan Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3612 Coffee Rd Ste A, Bakersfield, California |
| Authorized Official Name and Position | Arbi Ismailyan (PRESIDENT) |
| Authorized Official Contact | 6615877645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismailyan Professional Dental Corporation 3612 Coffee Rd Ste A Bakersfield CA 93308-5084 Ph: (661) 587-7645 | Ismailyan Professional Dental Corporation 3612 Coffee Rd Ste A Bakersfield CA 93308-5084 Ph: (661) 587-7645 |
| NPI Number | 1417505371 |
|---|---|
| Provider Enumeration Date | 09/03/2019 |
| Last Update Date | 09/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417505371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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