Provider Demographics
NPI:1972743789
Name:KAZANJIAN, SINIKKA EVELYN (DMD)
Entity type:Individual
Prefix:DR
First Name:SINIKKA
Middle Name:EVELYN
Last Name:KAZANJIAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:08733-3023
Mailing Address - Country:US
Mailing Address - Phone:732-657-7400
Mailing Address - Fax:732-657-2200
Practice Address - Street 1:19 UNION AVE
Practice Address - Street 2:
Practice Address - City:LAKEHURST
Practice Address - State:NJ
Practice Address - Zip Code:08733-3023
Practice Address - Country:US
Practice Address - Phone:732-657-7400
Practice Address - Fax:732-657-2200
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0214461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice