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General NPI Number Information
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NPI Number | 1134257975
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Entity Type | Organization
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Legal Business Name | KALPAKCHIAN DMD DENTAL CORP.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 12650 SHERMAN WAY STE. 7
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-5232
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Country | US
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Telephone | 818-503-4900
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Fax | 818-503-4916
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Provider Business Mailing Address
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Address Line | 1343 DOVERWOOD DR
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City | GLENDALE
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State | CA
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Zip | 91207-1148
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Country | US
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Telephone | 818-507-1395
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Fax | 818-503-4916
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ARSEN KALPAKCHIAN
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Credential | D.M.D.
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Telephone | 818-503-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | B44904
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License Number State | CA
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