Provider Demographics
NPI:1083265417
Name:DR. ARAM YELIAZYAN DDS
Entity Type:Organization
Organization Name:DR. ARAM YELIAZYAN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:YELIAZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-608-0060
Mailing Address - Street 1:929 W FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3710
Mailing Address - Country:US
Mailing Address - Phone:909-608-0060
Mailing Address - Fax:
Practice Address - Street 1:929 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3710
Practice Address - Country:US
Practice Address - Phone:909-608-0060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty