Provider Demographics
NPI:1568506798
Name:SARKISSIAN, RUZAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUZAN
Middle Name:
Last Name:SARKISSIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4419 VAN NUYS BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-5737
Mailing Address - Country:US
Mailing Address - Phone:818-788-8131
Mailing Address - Fax:818-788-8197
Practice Address - Street 1:4419 VAN NUYS BLVD STE 310
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5737
Practice Address - Country:US
Practice Address - Phone:818-788-8131
Practice Address - Fax:818-788-8197
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2023-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52465122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist