MEDICARE: ARTUR ARKELAKYAN

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
1	122300000X	Dentist	101249	CA

General Provider Information

NPI Number	:	1235662545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTUR ARKELAKYAN

Provider Business Mailing Address
First Line	:	215 N BELMONT ST APT 110
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4402
Country	:	US
Telephone Number	:	818-640-8013
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 S LAKE ST STE 102
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-2436
Country	:	US
Telephone Number	:	818-859-7979
Fax Number	:	818-859-7249

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2017
Last Update Date	:	03/21/2019

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