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NPI Code Detail

MEDICARE: DR. ANDRE KANARKI DDS

MEDICARE: DR. ANDRE KANARKI DDS
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 Dentistry44492CA

General Provider Information

NPI Number : 1194799197
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDRE KANARKI DDS
Provider Business Mailing Address
First Line : 1543 E PALMDALE BLVD
Second Line : SUITE B
City : PALMDALE
State : CA
Zip : 93550-2000
Country : US
Telephone Number : 661-274-1866
Fax Number :
Provider Business Practice Location Address
First Line : 1543 E PALMDALE BLVD
Second Line : SUITE B
City : PALMDALE
State : CA
Zip : 93550-2000
Country : US
Telephone Number : 661-274-1866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ANDRE KANARKI DDS” Practice Location

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