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General NPI Number Information
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NPI Number | 1376609032
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Entity Type | Organization
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Legal Business Name | ARAXIE YETENEKIAN-GETTAS, D.M.D., INC.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 02/09/2009
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Provider Practice Location Address
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Address Line | 2028 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-5011
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Country | US
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Telephone | 213-380-5506
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Fax | 213-380-0754
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Provider Business Mailing Address
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Address Line | 2028 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-5011
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Country | US
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Telephone | 213-380-5506
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Fax | 213-380-0754
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARAXIE YETENEKIAN-GETTAS
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Credential | D.M.D.
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Telephone | 818-246-0985
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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 | 35186
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License Number State | CA
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