Provider Demographics
NPI:1710173695
Name:AZNAVOUR, SARKIS LEON (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARKIS
Middle Name:LEON
Last Name:AZNAVOUR
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 1:24242 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2343
Mailing Address - Country:US
Mailing Address - Phone:661-313-5349
Mailing Address - Fax:661-260-1227
Practice Address - Street 1:24242 LYONS AVE
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2343
Practice Address - Country:US
Practice Address - Phone:661-313-5349
Practice Address - Fax:661-260-1227
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55946122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist