Provider Demographics
NPI:1225249550
Name:ACOPIAN, ANAHID (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANAHID
Middle Name:
Last Name:ACOPIAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 E LOS ANGELES AVE
Mailing Address - Street 2:SUIT 210
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-1900
Mailing Address - Country:US
Mailing Address - Phone:805-532-1101
Mailing Address - Fax:805-532-1834
Practice Address - Street 1:484 E LOS ANGELES AVE
Practice Address - Street 2:SUIT 210
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-1900
Practice Address - Country:US
Practice Address - Phone:805-532-1101
Practice Address - Fax:805-532-1834
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA525751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice