Provider Demographics
NPI:1295234607
Name:ARTUR ARKELAKYAN DDS INC
Entity type:Organization
Organization Name:ARTUR ARKELAKYAN DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ARKELAKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-640-8013
Mailing Address - Street 1:905 S LAKE ST
Mailing Address - Street 2:STE 102
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2436
Mailing Address - Country:US
Mailing Address - Phone:818-859-7979
Mailing Address - Fax:818-859-7249
Practice Address - Street 1:905 S LAKE ST # 101102
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2436
Practice Address - Country:US
Practice Address - Phone:818-640-8013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental