Provider Demographics
NPI:1093861742
Name:ARMENIAN, CHRISTINE STEPANIAN (DDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:STEPANIAN
Last Name:ARMENIAN
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 MOUNTAIN VIEW ST
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-4927
Mailing Address - Country:US
Mailing Address - Phone:626-798-0369
Mailing Address - Fax:
Practice Address - Street 1:418 E GLENOAKS BLVD
Practice Address - Street 2:202
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-2035
Practice Address - Country:US
Practice Address - Phone:818-244-5052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice