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Provider Information for 1285716431



DR. CLARISSE ATAKHANIAN DDS

Gender: FEMALE

Individual NPI: 1285716431

Calendar Last Updated: 2017-04-07

Details

Name Value
NPI 1285716431
Enumeration Date 2006-10-19
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1201 N PACIFIC AVE # 104
GLENDALE, CA 91202-1661
United States

Phone: 818-546-1923 | Fax: 818-546-2834
View Map External Link
Primary Practice Address 1201 N PACIFIC AVE # 104
GLENDALE, CA 91202-1661
United States

Phone: 818-546-1923 | Fax: 818-546-2834
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 40527