Provider Demographics
NPI:1538324306
Name:OHANIAN DENTAL CORPORATION
Entity Type:Organization
Organization Name:OHANIAN DENTAL CORPORATION
Other - Org Name:ADULT AND KID'S DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMINE
Authorized Official - Middle Name:OHANIAN
Authorized Official - Last Name:KASSABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:818-442-1715
Mailing Address - Street 1:4910 VAN NUYS
Mailing Address - Street 2:SUITE #208
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403
Mailing Address - Country:US
Mailing Address - Phone:818-453-8016
Mailing Address - Fax:818-453-8829
Practice Address - Street 1:4910 VAN NUYS
Practice Address - Street 2:SUITE #208
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403
Practice Address - Country:US
Practice Address - Phone:818-453-8016
Practice Address - Fax:818-453-8829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA544811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty