Provider Demographics
NPI:1942068200
Name:ARMEN JOSEPH PEZESHKIAN DDS INC
Entity Type:Organization
Organization Name:ARMEN JOSEPH PEZESHKIAN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PEZESHKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-644-0542
Mailing Address - Street 1:1016 E BROADWAY STE 104
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4534
Mailing Address - Country:US
Mailing Address - Phone:818-409-0999
Mailing Address - Fax:
Practice Address - Street 1:1016 E BROADWAY STE 104
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4534
Practice Address - Country:US
Practice Address - Phone:818-409-0999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty