Provider Demographics
NPI:1710032636
Name:SAATJIAN, AVEDIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:AVEDIS
Middle Name:
Last Name:SAATJIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 ROSEDALE HWY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2101
Mailing Address - Country:US
Mailing Address - Phone:661-589-5248
Mailing Address - Fax:818-343-7606
Practice Address - Street 1:7455 RESEDA BLVD
Practice Address - Street 2:UNIT 'F'
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2898
Practice Address - Country:US
Practice Address - Phone:818-343-1654
Practice Address - Fax:818-343-7606
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA359841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice