Provider Demographics
NPI:1134313281
Name:LUSINYAN, ARTHUR (DDS)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:LUSINYAN
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 1:5005 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6103
Mailing Address - Country:US
Mailing Address - Phone:323-662-9308
Mailing Address - Fax:323-662-5970
Practice Address - Street 1:5005 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6103
Practice Address - Country:US
Practice Address - Phone:323-662-9308
Practice Address - Fax:323-662-5970
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD43193122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist