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Jack Acheatel
NPI 1194027698 · on the registry since 2010 · sole proprietor
Practice
- Address
- 18856 Roscoe Blvd
Northridge, CA 91324 - Phone
- (818) 885-7116
- Organisation at this address
- Sergey Tatulyan Dds, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California