Provider Demographics
NPI:1295863231
Name:HAYRAPETIAN DENTAL CORP
Entity Type:Organization
Organization Name:HAYRAPETIAN DENTAL CORP
Other - Org Name:HAYK HAYRAPETIAN DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYRAPETIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-265-0500
Mailing Address - Street 1:815 E COLORADO ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205
Mailing Address - Country:US
Mailing Address - Phone:818-265-0500
Mailing Address - Fax:818-265-0588
Practice Address - Street 1:815 E COLORADO ST
Practice Address - Street 2:SUITE 240
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205
Practice Address - Country:US
Practice Address - Phone:818-265-0500
Practice Address - Fax:818-265-0588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB4232301122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty