Provider Demographics
NPI:1104540673
Name:NALCHAJIAN AND NALCHAJIAN INC A PROFESSIONAL DENTAL CORPORATION
Entity type:Organization
Organization Name:NALCHAJIAN AND NALCHAJIAN INC A PROFESSIONAL DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-432-7100
Mailing Address - Street 1:7501 N FRESNO ST STE 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4340
Mailing Address - Country:US
Mailing Address - Phone:559-432-7100
Mailing Address - Fax:559-432-8620
Practice Address - Street 1:7501 N FRESNO ST STE 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-4340
Practice Address - Country:US
Practice Address - Phone:559-432-7100
Practice Address - Fax:559-432-8620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty