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General NPI Number Information
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NPI Number | 1972933802
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Entity Type | Organization
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Legal Business Name | AMBARACHYAN DENTAL CORPORATION
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 27916 SECO CANYON RD SUITE 201
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City | SANTA CLARITA
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State | CA
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Zip | 91350-3852
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Country | US
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Telephone | 661-513-0655
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Fax |
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Provider Business Mailing Address
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Address Line | 27916 SECO CANYON RD SUITE 201
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City | SANTA CLARITA
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State | CA
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Zip | 91350-3852
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Country | US
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Telephone | 661-513-0655
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARMEN AMBARCHYAN
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Credential |
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Telephone | 818-848-3023
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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 | 51039
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License Number State | CA
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