Provider Demographics
NPI:1528163813
Name:MKRTCHYAN, ARUTYUN (DDS)
Entity type:Individual
Prefix:DR
First Name:ARUTYUN
Middle Name:
Last Name:MKRTCHYAN
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 1:5953 LAUREL CANYON BLVD
Mailing Address - Street 2:STE #B
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91607
Mailing Address - Country:US
Mailing Address - Phone:818-508-7200
Mailing Address - Fax:818-754-0400
Practice Address - Street 1:5953 LAUREL CANYON BLVD
Practice Address - Street 2:STE #B
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91607
Practice Address - Country:US
Practice Address - Phone:818-508-7200
Practice Address - Fax:818-754-0400
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54580122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist