Provider Demographics
NPI:1235329798
Name:BELIAN, RAFFI SARKIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAFFI
Middle Name:SARKIS
Last Name:BELIAN
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 1:5980 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3333
Mailing Address - Country:US
Mailing Address - Phone:248-828-1033
Mailing Address - Fax:248-828-1905
Practice Address - Street 1:5980 ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3333
Practice Address - Country:US
Practice Address - Phone:248-828-1033
Practice Address - Fax:248-828-1905
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010186321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice