Provider Demographics
NPI:1295899581
Name:EKMEKCHYAN, HAKOB (DDS)
Entity type:Individual
Prefix:
First Name:HAKOB
Middle Name:
Last Name:EKMEKCHYAN
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 1:6307 N FRESNO ST STE 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5284
Mailing Address - Country:US
Mailing Address - Phone:559-447-0101
Mailing Address - Fax:559-447-1918
Practice Address - Street 1:6307 N FRESNO ST STE 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5284
Practice Address - Country:US
Practice Address - Phone:559-447-0101
Practice Address - Fax:559-447-1918
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50598122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist