Provider Demographics
NPI:1083836373
Name:BILEMJIAN, VAZKEN HENRY (DMD)
Entity Type:Individual
Prefix:MR
First Name:VAZKEN
Middle Name:HENRY
Last Name:BILEMJIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 S EL MOLINO AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2906
Mailing Address - Country:US
Mailing Address - Phone:626-792-6131
Mailing Address - Fax:626-792-4831
Practice Address - Street 1:212 S EL MOLINO AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2906
Practice Address - Country:US
Practice Address - Phone:626-792-6131
Practice Address - Fax:626-792-4831
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36134122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist