Provider Demographics
NPI:1528150554
Name:SAKO OHANESIAN D.D.S. , INC.
Entity type:Organization
Organization Name:SAKO OHANESIAN D.D.S. , INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAKO
Authorized Official - Middle Name:
Authorized Official - Last Name:OHANESIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-998-1646
Mailing Address - Street 1:145 S CHAPARRAL CT
Mailing Address - Street 2:SUITE # 201
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2265
Mailing Address - Country:US
Mailing Address - Phone:714-998-1646
Mailing Address - Fax:714-998-4667
Practice Address - Street 1:145 S CHAPARRAL CT
Practice Address - Street 2:SUITE # 201
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-2265
Practice Address - Country:US
Practice Address - Phone:714-998-1646
Practice Address - Fax:714-998-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA382131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty