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NPI Code Detail

MEDICARE: ARTUR SHAHNUBARYAN DDS

MEDICARE:   ARTUR  SHAHNUBARYAN  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 Dentistry54206CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831246578
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTUR SHAHNUBARYAN DDS
Provider Business Mailing Address
First Line : 6300 SAN FERNANDO RD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2414
Country : US
Telephone Number : 818-547-4455
Fax Number : 818-547-9955
Provider Business Practice Location Address
First Line : 6300 SAN FERNANDO RD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2414
Country : US
Telephone Number : 818-547-4455
Fax Number : 818-547-9955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 07/09/2007

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Directions to “ ARTUR SHAHNUBARYAN DDS” Practice Location

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