Provider Demographics
NPI:1780835835
Name:MURADYAN, LIANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIANA
Middle Name:
Last Name:MURADYAN
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 1:3154 BUCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-1405
Mailing Address - Country:US
Mailing Address - Phone:323-382-2211
Mailing Address - Fax:
Practice Address - Street 1:3154 BUCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-1405
Practice Address - Country:US
Practice Address - Phone:323-382-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA573601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice