Provider Demographics
NPI:1922610559
Name:AKOPYAN, ANOUSH (DDS)
Entity Type:Individual
Prefix:
First Name:ANOUSH
Middle Name:
Last Name:AKOPYAN
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 1:2538 HARMONY PL
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-2232
Mailing Address - Country:US
Mailing Address - Phone:818-306-7184
Mailing Address - Fax:
Practice Address - Street 1:2538 HARMONY PL
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-2232
Practice Address - Country:US
Practice Address - Phone:818-306-7184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1052881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice