Provider Demographics
NPI:1427437516
Name:VICTORVILLE DENTAL OFFICE OF ARAM ARAKELYAN AND ALBORZ MEHDIZADEH
Entity type:Organization
Organization Name:VICTORVILLE DENTAL OFFICE OF ARAM ARAKELYAN AND ALBORZ MEHDIZADEH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBORZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHDIZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-913-8097
Mailing Address - Street 1:15080 7TH ST
Mailing Address - Street 2:SUITE #7
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-3865
Mailing Address - Country:US
Mailing Address - Phone:760-951-9900
Mailing Address - Fax:760-951-9901
Practice Address - Street 1:15080 7TH ST
Practice Address - Street 2:SUITE #7
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-3865
Practice Address - Country:US
Practice Address - Phone:760-951-9900
Practice Address - Fax:760-951-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty