Provider Demographics
NPI:1639221112
Name:TAROIAN, HARMICK (DDS)
Entity Type:Individual
Prefix:
First Name:HARMICK
Middle Name:
Last Name:TAROIAN
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 1:4036 ELLENITA AVE
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-5416
Mailing Address - Country:US
Mailing Address - Phone:818-705-4705
Mailing Address - Fax:818-654-9357
Practice Address - Street 1:18437 SATICOY STREET
Practice Address - Street 2:SUITE #1
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335
Practice Address - Country:US
Practice Address - Phone:818-344-8338
Practice Address - Fax:818-344-8339
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52117122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist