| Fair Oaks Dental Group | |
|
301 S Fair Oaks Ave Ste 206 Pasadena CA 91105-2536 | |
| (626) 431-2654 | |
| (626) 431-2811 |
| Full Name | Fair Oaks Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 301 S Fair Oaks Ave Ste 206, Pasadena, California |
| Authorized Official Name and Position | Sona Asatryan (DENTIST) |
| Authorized Official Contact | 6264312654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Oaks Dental Group 301 S Fair Oaks Ave Ste 206 Pasadena CA 91105-2536 Ph: (626) 431-2654 | Fair Oaks Dental Group 301 S Fair Oaks Ave Ste 206 Pasadena CA 91105-2536 Ph: (626) 431-2654 |
| NPI Number | 1396624912 |
|---|---|
| Provider Enumeration Date | 08/28/2025 |
| Last Update Date | 08/28/2025 |
| Certification Date | 08/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396624912 | NPI | - | NPPES |
| 1114252384 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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