Provider Demographics
NPI:1487032280
Name:ARMINE HARUTYUNYAN DDS INC
Entity type:Organization
Organization Name:ARMINE HARUTYUNYAN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ARMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-601-0040
Mailing Address - Street 1:1117 S GLENDALE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-3270
Mailing Address - Country:US
Mailing Address - Phone:818-732-7717
Mailing Address - Fax:818-732-7727
Practice Address - Street 1:1117 S GLENDALE AVE STE B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-3270
Practice Address - Country:US
Practice Address - Phone:818-732-7717
Practice Address - Fax:818-732-7727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55652261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental