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General NPI Number Information
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NPI Number | 1295234607
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Entity Type | Organization
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Legal Business Name | ARTUR ARKELAKYAN DDS INC
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 905 S LAKE ST # 101102
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City | BURBANK
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State | CA
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Zip | 91502-2436
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Country | US
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Telephone | 818-640-8013
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Fax |
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Provider Business Mailing Address
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Address Line | 905 S LAKE ST STE 102
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City | BURBANK
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State | CA
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Zip | 91502-2436
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Country | US
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Telephone | 818-859-7979
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Fax | 818-859-7249
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARTUR ARKELAKYAN
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Credential | DDS
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Telephone | 818-640-8013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 101
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License Number State | CA
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