Individual provider · NPI-1

Dr. Gregory Asatrian, DDS, MS

Dentist, Orthodontics and Dentofacial Orthopedics · Monterey Park, CA

NPI number1508322819
StatusActive
Last updated in NPPESNov 15, 2024

Details

NPI
1508322819
Entity type
Individual (NPI-1)
Name
Dr. Gregory Asatrian
Credential
DDS, MS
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 12, 2019
Certification date
Nov 15, 2024
Last updated
Nov 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics100717CAYes
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics2901600803MI

Practice location

2236 S Atlantic Blvd
Monterey Park, CA 91754-6804

Phone 323-404-4436

Mailing address

2236 S Atlantic Blvd
Monterey Park, CA 91754-6804

Phone 323-404-4436

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Other Dentist, Orthodontics and Dentofacial Orthopedics providers in Monterey Park, CA