Bagdasarian, David L

Bagdasarian, David L is an individual health care provider with primary practice located at 1334 Washington Ave , Portland ME 04103-3670. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bagdasarian, David L can be contacted via phone (207) 797-5834.

Contact Information

Primary practice address
1334 Washington Ave Portland ME 04103-3670
Phone: (207) 797-5834
Fax: (207) 797-8305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2886 Maine

Profile Details

NPI number 1124143839
LBN Legal business name Bagdasarian, David L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124143839 NPPES
Maine Other 462967 BCBS

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