Basic Information
| Provider Information | |||||||||
| NPI: | 1619497906 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALIKHANYAN | ||||||||
| FirstName: | LILIT | ||||||||
| MiddleName: | KAERCHER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5009 W SUBLETT RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760171177 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7192219941 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5009 W SUBLETT RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760171177 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8177173640 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2017 | ||||||||
| LastUpdateDate: | 03/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 00203230 | CO | N | Dental Providers | Dentist | 122300000X | 34833 | TX | Y | Dental Providers | Dentist |
No ID Information.