Provider Demographics
NPI:1912124967
Name:SARYAN, ARUTYUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARUTYUN
Middle Name:
Last Name:SARYAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3311 BEAUDRY TER
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1750
Mailing Address - Country:US
Mailing Address - Phone:818-543-0707
Mailing Address - Fax:818-543-0700
Practice Address - Street 1:457 W COLORADO ST
Practice Address - Street 2:201
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1537
Practice Address - Country:US
Practice Address - Phone:818-543-0707
Practice Address - Fax:818-543-0700
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA400111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice