Provider Demographics
NPI:1992156624
Name:NAREK OVSEPIAN D.D.S., INC.
Entity type:Organization
Organization Name:NAREK OVSEPIAN D.D.S., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:OVSEPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-899-7645
Mailing Address - Street 1:13279 VAN NUYS BLVD
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-3003
Mailing Address - Country:US
Mailing Address - Phone:818-899-7645
Mailing Address - Fax:818-899-7648
Practice Address - Street 1:13279 VAN NUYS BLVD
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-3003
Practice Address - Country:US
Practice Address - Phone:818-899-7645
Practice Address - Fax:818-899-7648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental