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Provider Information for 1063438265



DR. ARTASHES AVAKIAN D.D.S.

Gender: MALE

Individual NPI: 1063438265

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1063438265
Enumeration Date 2006-07-14
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 7269 N 1ST ST # 101
FRESNO, CA 93720-2964
United States

Phone: 559-447-5454 | Fax: 559-438-5454
View Map External Link
Primary Practice Address 7269 N 1ST ST # 101
FRESNO, CA 93720-2964
United States

Phone: 559-447-5454 | Fax: 559-438-5454
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 43311
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location