Provider Demographics
NPI:1376810002
Name:HARTOUNIAN, HARMIK (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARMIK
Middle Name:
Last Name:HARTOUNIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10247 GLORY AVE
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2003
Mailing Address - Country:US
Mailing Address - Phone:818-434-7724
Mailing Address - Fax:
Practice Address - Street 1:1021 W AVENUE M14
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-1440
Practice Address - Country:US
Practice Address - Phone:661-267-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA607441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice