Provider Demographics
NPI:1912069311
Name:DENNIS M ARUTIAN DDS INC
Entity Type:Organization
Organization Name:DENNIS M ARUTIAN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:ARUTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-222-1201
Mailing Address - Street 1:23622 CALABASAS ROAD
Mailing Address - Street 2:SUITE #119
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1576
Mailing Address - Country:US
Mailing Address - Phone:818-222-1201
Mailing Address - Fax:818-222-1852
Practice Address - Street 1:23622 CALABASAS ROAD
Practice Address - Street 2:SUITE #119
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1576
Practice Address - Country:US
Practice Address - Phone:818-222-1201
Practice Address - Fax:818-222-1852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA288401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty