Provider Demographics
NPI:1407082084
Name:ZEHNALY, ARMEN DERRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARMEN
Middle Name:DERRICK
Last Name:ZEHNALY
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 1:4326 FAIRLAWN DR
Mailing Address - Street 2:
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-3115
Mailing Address - Country:US
Mailing Address - Phone:818-298-4424
Mailing Address - Fax:818-952-5533
Practice Address - Street 1:4326 FAIRLAWN DR
Practice Address - Street 2:
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-3115
Practice Address - Country:US
Practice Address - Phone:818-298-4424
Practice Address - Fax:818-952-5533
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58281122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist