Provider Demographics
NPI:1194545723
Name:ARMENIAN DENTAL CORPORATION
Entity type:Organization
Organization Name:ARMENIAN DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:STEPANIAN
Authorized Official - Last Name:ARMENIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-395-9224
Mailing Address - Street 1:5210 CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-1316
Mailing Address - Country:US
Mailing Address - Phone:818-395-9224
Mailing Address - Fax:
Practice Address - Street 1:418 E GLENOAKS BLVD STE 202
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-2093
Practice Address - Country:US
Practice Address - Phone:818-395-9224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental