Provider Demographics
NPI:1073649596
Name:SASSOUNI, ANOUK LOLA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANOUK
Middle Name:LOLA
Last Name:SASSOUNI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ANOUK
Other - Middle Name:LOLA
Other - Last Name:ASRIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:607 WASHINGTON ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228
Mailing Address - Country:US
Mailing Address - Phone:412-563-4166
Mailing Address - Fax:412-563-4166
Practice Address - Street 1:607 WASHINGTON ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228
Practice Address - Country:US
Practice Address - Phone:412-563-4166
Practice Address - Fax:412-563-4166
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024252L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice