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NPI 1396624912

NPI 1396624912 : SONA ASATRYAN DDS PROFESSIONAL CORP : PASADENA, CA

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General NPI Number Information
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    NPI Number           |    1396624912
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    Entity Type          |    Organization 
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    Legal Business Name  |    SONA ASATRYAN DDS PROFESSIONAL CORP 
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Dates
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    Enumeration Date     |    08/28/2025
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    Last Update Date     |    08/28/2025
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Provider Practice Location Address
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    Address Line         |    301 S FAIR OAKS AVE STE 206 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91105-2536
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    Country              |    US
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    Telephone            |    626-431-2654
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    Fax                  |    626-431-2811
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Provider Business Mailing Address
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    Address Line         |    301 S FAIR OAKS AVE STE 206 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91105-2536
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    Country              |    US
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    Telephone            |    626-431-2654
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    Fax                  |    626-431-2811
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |     SONA  ASATRYAN 
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    Credential           |    
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    Telephone            |    626-431-2654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    
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    License Number State |    
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