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NPI Code Detail

MEDICARE: KALPAKCHIAN DMD DENTAL CORP.

MEDICARE: KALPAKCHIAN DMD DENTAL CORP.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryB44904CA

General Provider Information

NPI Number : 1134257975
Entity Type Code : Organization
Provider Name (Legal Business Name) : KALPAKCHIAN DMD DENTAL CORP.
Provider Business Mailing Address
First Line : 1343 DOVERWOOD DR
Second Line :
City : GLENDALE
State : CA
Zip : 91207-1148
Country : US
Telephone Number : 818-507-1395
Fax Number : 818-503-4916
Provider Business Practice Location Address
First Line : 12650 SHERMAN WAY
Second Line : STE. 7
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-5232
Country : US
Telephone Number : 818-503-4900
Fax Number : 818-503-4916
Authorized Official
Title or Position : DENTIST
Name : DR. ARSEN KALPAKCHIAN
Credential : D.M.D.
Telephone Number : 818-503-4900
Provider Enumeration Date : 03/02/2007
Last Update Date : 10/23/2014

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