Bayrakdarian Clovis II, D.M.D., INC., A California Professional Dental
Dentist, Orthodontics and Dentofacial Orthopedics in Clovis, CA. Organization (NPI-2).
NPI number1164032074
StatusActive
Last updated in NPPESMay 21, 2025
Details
- NPI
- 1164032074
- Entity type
- Organization (NPI-2)
- Legal business name
- Bayrakdarian Clovis II, D.M.D., INC., A California Professional Dental
- Organization subpart
- No
- Enumeration date
- Aug 5, 2020
- Certification date
- May 21, 2025
- Last updated
- May 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Other names
- Unique Orthodontics Clovis II (Doing Business As)
Practice location
427 W Nees Ave Ste 101Clovis, CA 93611-4434
Phone 559-297-2121
Mailing address
6688 N Cedar AveFresno, CA 93710-4401
Phone 559-837-1063 · Fax 559-578-8274
Authorized official
Diane Wright
Enrollment Officer
5595788274
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All 11 Orthodontics and Dentofacial Orthopedics Dentistry providers in Clovis · All 2,408 providers in Clovis
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