Provider Demographics
NPI:1366542102
Name:SINANIAN, RONALD STEVEN (DDS)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:STEVEN
Last Name:SINANIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9535 RESEDA BLVD.
Mailing Address - Street 2:#309
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-6030
Mailing Address - Country:US
Mailing Address - Phone:818-349-8455
Mailing Address - Fax:818-349-8470
Practice Address - Street 1:9535 RESEDA BLVD.
Practice Address - Street 2:#309
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-6030
Practice Address - Country:US
Practice Address - Phone:818-349-8455
Practice Address - Fax:818-349-8470
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA440891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice