Provider Demographics
NPI:1396800686
Name:JIL-AGOPIAN, ARA GARABET (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ARA
Middle Name:GARABET
Last Name:JIL-AGOPIAN
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:17745 CHATSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5604
Mailing Address - Country:US
Mailing Address - Phone:818-458-9628
Mailing Address - Fax:818-366-9788
Practice Address - Street 1:17745 CHATSWORTH ST
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5604
Practice Address - Country:US
Practice Address - Phone:818-458-9628
Practice Address - Fax:818-366-9788
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2022-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA510821223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics