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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 40527
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location