Provider Demographics
NPI:1285809830
Name:MARKARIAN, ROLAND (DMD)
Entity type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:
Last Name:MARKARIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 W AVENUE M14 STE C
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1434
Mailing Address - Country:US
Mailing Address - Phone:661-265-8884
Mailing Address - Fax:661-265-0718
Practice Address - Street 1:1051 W AVENUE M14 STE C
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-1434
Practice Address - Country:US
Practice Address - Phone:661-265-8884
Practice Address - Fax:661-265-0718
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA541751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice