Provider Demographics
NPI:1992043913
Name:OHANIAN DENTAL CORPORATION
Entity Type:Organization
Organization Name:OHANIAN DENTAL CORPORATION
Other - Org Name:ADULT AND KID'S DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OHANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:818-442-1715
Mailing Address - Street 1:10520 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3917
Mailing Address - Country:US
Mailing Address - Phone:818-980-6761
Mailing Address - Fax:818-980-6763
Practice Address - Street 1:10520 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3917
Practice Address - Country:US
Practice Address - Phone:818-980-6761
Practice Address - Fax:818-980-6763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54481122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty