Provider Demographics
NPI:1932439213
Name:ALINA OGANYAN D.D.S. INC.
Entity Type:Organization
Organization Name:ALINA OGANYAN D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-644-3366
Mailing Address - Street 1:1727 N. VERMONT AVE
Mailing Address - Street 2:ALINA OGANYAN D.D.S. INC. SUIT 109
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027
Mailing Address - Country:US
Mailing Address - Phone:323-644-3366
Mailing Address - Fax:323-644-0838
Practice Address - Street 1:1727 N. VERMONT AVE
Practice Address - Street 2:ALINA OGANYAN D.D.S. INC. SUIT 109
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-644-3366
Practice Address - Fax:323-644-0838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA463131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty