Healthcare Provider Details
I. General information
NPI: 1598691255
Provider Name (Legal Business Name): SARKIS PAPAZIAN DMD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1629 N MOUNT VERNON AVE UNIT 4
SAN BERNARDINO CA
92411-1427
US
IV. Provider business mailing address
1629 N MOUNT VERNON AVE UNIT 4
SAN BERNARDINO CA
92411-1427
US
V. Phone/Fax
- Phone: 909-361-3339
- Fax:
- Phone: 909-361-3339
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARKIS
PAPAZIAN
Title or Position: CEO
Credential: DMD
Phone: 909-361-3339