Provider Demographics
NPI:1114252384
Name:ASATRYAN, SONA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONA
Middle Name:
Last Name:ASATRYAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10932 MORRISON ST
Mailing Address - Street 2:#116
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-5111
Mailing Address - Country:US
Mailing Address - Phone:818-766-1319
Mailing Address - Fax:
Practice Address - Street 1:10932 MORRISON ST
Practice Address - Street 2:#116
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-5111
Practice Address - Country:US
Practice Address - Phone:818-766-1319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA586841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice