Provider Demographics
NPI:1568562163
Name:MARKARIAN, HARRY HERANT (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:HERANT
Last Name:MARKARIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12214 1/2 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2518
Mailing Address - Country:US
Mailing Address - Phone:818-763-1991
Mailing Address - Fax:818-762-0708
Practice Address - Street 1:12214 1/2 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2518
Practice Address - Country:US
Practice Address - Phone:818-763-1991
Practice Address - Fax:818-762-0708
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA273341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice