Provider Demographics
NPI:1437530912
Name:VAHAGN HAKOPYAN, DDS, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:VAHAGN HAKOPYAN, DDS, A PROFESSIONAL CORPORATION
Other - Org Name:VERDUGO HILLS DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VAHAGN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKOPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-839-7475
Mailing Address - Street 1:3600 N VERDUGO RD
Mailing Address - Street 2:302
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1219
Mailing Address - Country:US
Mailing Address - Phone:818-839-7475
Mailing Address - Fax:818-839-7473
Practice Address - Street 1:3600 N VERDUGO RD
Practice Address - Street 2:302
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1219
Practice Address - Country:US
Practice Address - Phone:818-839-7475
Practice Address - Fax:818-839-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57791122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty