Provider Demographics
NPI:1720209919
Name:JANOYAN, KOHARIK DAOUD (DDS)
Entity Type:Individual
Prefix:MRS
First Name:KOHARIK
Middle Name:DAOUD
Last Name:JANOYAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 N CENTRAL AVE
Mailing Address - Street 2:SUITE 360
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203
Mailing Address - Country:US
Mailing Address - Phone:818-240-8998
Mailing Address - Fax:818-243-3462
Practice Address - Street 1:411 N CENTRAL AVE
Practice Address - Street 2:SUITE 360
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203
Practice Address - Country:US
Practice Address - Phone:818-240-8998
Practice Address - Fax:818-243-3462
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADA035989122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist