Provider Demographics
NPI:1992865711
Name:GEORGIAN, SONA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONA
Middle Name:
Last Name:GEORGIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SONA
Other - Middle Name:
Other - Last Name:ALABYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6136 LANDINO DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-4125
Mailing Address - Country:US
Mailing Address - Phone:818-735-0561
Mailing Address - Fax:
Practice Address - Street 1:32144 AGOURA RD
Practice Address - Street 2:SUITE 213
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4031
Practice Address - Country:US
Practice Address - Phone:818-991-4664
Practice Address - Fax:818-991-4664
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA512551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice