Provider Demographics
NPI:1881820504
Name:MEGERDICHIAN, SILVA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SILVA
Middle Name:
Last Name:MEGERDICHIAN
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 1:13947 MILBANK ST
Mailing Address - Street 2:APT 3
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2936
Mailing Address - Country:US
Mailing Address - Phone:818-624-5477
Mailing Address - Fax:
Practice Address - Street 1:13947 MILBANK ST
Practice Address - Street 2:APT 3
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2936
Practice Address - Country:US
Practice Address - Phone:818-624-5477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program