Provider Demographics
NPI:1275665556
Name:KAZANGIAN, MARIANA LILIANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIANA
Middle Name:LILIANA
Last Name:KAZANGIAN
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 1:6857 RESEDA BLVD
Mailing Address - Street 2:SUITE A AND B
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4228
Mailing Address - Country:US
Mailing Address - Phone:818-343-9000
Mailing Address - Fax:818-343-0849
Practice Address - Street 1:6857 RESEDA BLVD
Practice Address - Street 2:SUITE A AND B
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4228
Practice Address - Country:US
Practice Address - Phone:818-343-9000
Practice Address - Fax:818-343-0849
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA444971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice