Provider Demographics
NPI:1457712044
Name:ADRIAN ARA SARCHISIAN DDS INC
Entity Type:Organization
Organization Name:ADRIAN ARA SARCHISIAN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SARCHISIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-965-6250
Mailing Address - Street 1:6611 COYLE AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-6311
Mailing Address - Country:US
Mailing Address - Phone:916-965-6250
Mailing Address - Fax:916-965-6357
Practice Address - Street 1:6611 COYLE AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6311
Practice Address - Country:US
Practice Address - Phone:916-965-6250
Practice Address - Fax:916-965-6357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA469521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty