Provider Demographics
NPI:1811283021
Name:GRIGORYAN, ARMINE V (DDS)
Entity type:Individual
Prefix:
First Name:ARMINE
Middle Name:V
Last Name:GRIGORYAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5227 GROVEMONT DR
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5558
Mailing Address - Country:US
Mailing Address - Phone:443-413-0823
Mailing Address - Fax:
Practice Address - Street 1:4000 OLD COURT RD
Practice Address - Street 2:#302
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2800
Practice Address - Country:US
Practice Address - Phone:410-764-3363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14932122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist