Provider Demographics
NPI:1528223997
Name:ARNOLD K. TICHIAN DDS INC
Entity Type:Organization
Organization Name:ARNOLD K. TICHIAN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:KONO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-894-5777
Mailing Address - Street 1:15336 DEVONSHIRE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2763
Mailing Address - Country:US
Mailing Address - Phone:818-894-5777
Mailing Address - Fax:
Practice Address - Street 1:15336 DEVONSHIRE ST STE 5
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2763
Practice Address - Country:US
Practice Address - Phone:818-894-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA160631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty