Provider Demographics
NPI:1629284617
Name:JANJIK, TALIN (DDS)
Entity Type:Individual
Prefix:MRS
First Name:TALIN
Middle Name:
Last Name:JANJIK
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 1:1258 JUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1402
Mailing Address - Country:US
Mailing Address - Phone:323-255-9663
Mailing Address - Fax:323-255-9634
Practice Address - Street 1:2455 COLORADO BLVD APT 16
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1184
Practice Address - Country:US
Practice Address - Phone:323-255-9663
Practice Address - Fax:323-255-9634
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47488122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist