Provider Demographics
NPI:1417563297
Name:ARTOUR KHACHATRIAN DDS APC
Entity Type:Organization
Organization Name:ARTOUR KHACHATRIAN DDS APC
Other - Org Name:ARTOUR KHACHATRIAN DDS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ARTOUR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATRIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-962-9707
Mailing Address - Street 1:7063 W SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7509
Mailing Address - Country:US
Mailing Address - Phone:323-962-9707
Mailing Address - Fax:323-962-9717
Practice Address - Street 1:7063 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-7509
Practice Address - Country:US
Practice Address - Phone:323-962-9707
Practice Address - Fax:323-962-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty