Provider Demographics
NPI:1790838902
Name:GASPARIAN, ARMEN (DDS)
Entity Type:Individual
Prefix:
First Name:ARMEN
Middle Name:
Last Name:GASPARIAN
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 1:13450 HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-5806
Mailing Address - Country:US
Mailing Address - Phone:818-736-1798
Mailing Address - Fax:818-736-1798
Practice Address - Street 1:13450 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-5806
Practice Address - Country:US
Practice Address - Phone:818-736-1798
Practice Address - Fax:818-736-1798
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA448801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice