Provider Demographics
NPI:1093970154
Name:EBEN, ARMON (DDS)
Entity Type:Individual
Prefix:
First Name:ARMON
Middle Name:
Last Name:EBEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 HAMPSHIRE RD STE 7
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2838
Mailing Address - Country:US
Mailing Address - Phone:805-497-9585
Mailing Address - Fax:805-497-8185
Practice Address - Street 1:911 HAMPSHIRE RD STE 7
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2838
Practice Address - Country:US
Practice Address - Phone:805-497-9585
Practice Address - Fax:805-497-8185
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50031122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist