Healthcare Provider Details

I. General information

NPI: 1427877034
Provider Name (Legal Business Name): OHANIAN & OGANIAN DENTAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2196 FOOTHILL BLVD STE C
LA CANADA CA
91011-1963
US

IV. Provider business mailing address

2196 FOOTHILL BLVD STE C
LA CANADA CA
91011-1963
US

V. Phone/Fax

Practice location:
  • Phone: 818-248-7344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. NAREK OHANIAN
Title or Position: CEO
Credential: DDS
Phone: 818-248-7344