Provider Demographics
NPI:1720697568
Name:OHANIAN, NAREK (MS DDS)
Entity Type:Individual
Prefix:DR
First Name:NAREK
Middle Name:
Last Name:OHANIAN
Suffix:
Gender:M
Credentials:MS DDS
Other - Prefix:DR
Other - First Name:NICK
Other - Middle Name:
Other - Last Name:OHANIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS DDS
Mailing Address - Street 1:9400 BRIGHTON WAY STE 309
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4710
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9400 BRIGHTON WAY STE 309
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4710
Practice Address - Country:US
Practice Address - Phone:310-273-7397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1051141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice