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NPI Code Detail

MEDICARE: MARAL KRIKORIAN ATAMIAN

MEDICARE:   MARAL  KRIKORIAN ATAMIAN
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 Dentistry019.032128IL

General Provider Information

NPI Number : 1699335943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARAL KRIKORIAN ATAMIAN
Provider Business Mailing Address
First Line : 1702 MILL ST APT 502
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-4740
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5961 N LINCOLN AVE STE 103
Second Line :
City : CHICAGO
State : IL
Zip : 60659-3758
Country : US
Telephone Number : 773-293-6780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2019
Last Update Date : 12/20/2019

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Directions to “ MARAL KRIKORIAN ATAMIAN ” Practice Location

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