Provider Demographics
NPI:1952132755
Name:LANCASTER DENTAL OFFICE OF JILBERT BAKRAMIAN INC
Entity type:Organization
Organization Name:LANCASTER DENTAL OFFICE OF JILBERT BAKRAMIAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKRAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-378-1511
Mailing Address - Street 1:44558 10TH ST W STE B
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3333
Mailing Address - Country:US
Mailing Address - Phone:818-378-1511
Mailing Address - Fax:661-522-3049
Practice Address - Street 1:44558 10TH ST W STE B
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3333
Practice Address - Country:US
Practice Address - Phone:818-378-1511
Practice Address - Fax:661-522-3049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental