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NPI Code Detail

MEDICARE: SETAREH KATHERINE HAROUNIAN D.D.S.

MEDICARE: SETAREH KATHERINE HAROUNIAN D.D.S.
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
1122300000XDentist55553CA

General Provider Information

NPI Number : 1861672685
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETAREH KATHERINE HAROUNIAN D.D.S.
Provider Business Mailing Address
First Line : 1831 PROSSER AVE APT 211
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-4834
Country : US
Telephone Number : 310-922-2010
Fax Number :
Provider Business Practice Location Address
First Line : 1831 PROSSER AVE
Second Line : APT 211
City : LOS ANGELES
State : CA
Zip : 90025-4865
Country : US
Telephone Number : 310-922-2010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2007
Last Update Date : 11/08/2007

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