Provider Demographics
NPI:1760433775
Name:ZARIAN, RUBEN D (DDS)
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:D
Last Name:ZARIAN
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 1:1000 N. CENTRAL AVE. # 130
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202
Mailing Address - Country:US
Mailing Address - Phone:818-242-8892
Mailing Address - Fax:818-242-2650
Practice Address - Street 1:1000 N. CENTRAL AVE. # 130
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202
Practice Address - Country:US
Practice Address - Phone:818-242-8892
Practice Address - Fax:818-242-2650
Is Sole Proprietor?:No
Enumeration Date:2006-05-14
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA281131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice