Provider Demographics
NPI:1659446862
Name:PAPAZIAN, EDWIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:
Last Name:PAPAZIAN
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 1:7616 WINNETKA AVE
Mailing Address - Street 2:1
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-2686
Mailing Address - Country:US
Mailing Address - Phone:818-772-6222
Mailing Address - Fax:818-772-9649
Practice Address - Street 1:7616 WINNETKA AVENUE
Practice Address - Street 2:SUITE 1
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306
Practice Address - Country:US
Practice Address - Phone:818-772-6222
Practice Address - Fax:818-772-9640
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA428681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice