Provider Demographics
NPI:1639360308
Name:ARMEN KARIMYAN DDS INC
Entity Type:Organization
Organization Name:ARMEN KARIMYAN DDS INC
Other - Org Name:LA QUINTA CENTER FOR COSMETIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIMYAN DDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-777-0114
Mailing Address - Street 1:78080 AVENIDA LA FONDA
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-2923
Mailing Address - Country:US
Mailing Address - Phone:760-777-0114
Mailing Address - Fax:760-777-8270
Practice Address - Street 1:78080 AVENIDA LA FONDA
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-2923
Practice Address - Country:US
Practice Address - Phone:760-777-0114
Practice Address - Fax:760-777-8270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA532291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty