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1740940105
KHACHIK TARAKHCHYAN
VAN NUYS, CA
NPI
1740940105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA HAP790)
Enumeration Date
2021-12-28
Last Update Date
2021-12-28
Business Address
KHACHIK TARAKHCHYAN
13947 ARCHWOOD ST
VAN NUYS, CA 91405-4821
Phone number: 818-800-0828
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Mailing Address
KHACHIK TARAKHCHYAN
13947 ARCHWOOD ST
VAN NUYS, CA 91405-4821
Phone number: 818-800-0828
Copy
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