Provider Demographics
NPI:1720042849
Name:MURADIAN, VICTOR K (DDS)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:K
Last Name:MURADIAN
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 1:3695 ALAMO ST
Mailing Address - Street 2:SUITE #300
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2188
Mailing Address - Country:US
Mailing Address - Phone:805-522-0880
Mailing Address - Fax:805-522-2515
Practice Address - Street 1:3695 ALAMO ST
Practice Address - Street 2:SUITE #300
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2188
Practice Address - Country:US
Practice Address - Phone:805-522-0880
Practice Address - Fax:805-522-2515
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA433731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice