Provider Demographics
NPI:1023226123
Name:HARUTYUNYAN, ARMINE (DDS)
Entity type:Individual
Prefix:DR
First Name:ARMINE
Middle Name:
Last Name:HARUTYUNYAN
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 1:406 GRISWOLD ST APT 3
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1944
Mailing Address - Country:US
Mailing Address - Phone:818-662-8808
Mailing Address - Fax:
Practice Address - Street 1:6767 W SUNSET BLVD STE 25
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-7152
Practice Address - Country:US
Practice Address - Phone:323-469-8816
Practice Address - Fax:323-469-2679
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice