MEDICARE: SAAKYAN DENTAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1356285431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAAKYAN DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	6058 LANKERSHIM BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4806
Country	:	US
Telephone Number	:	818-384-1003
Fax Number	:

Provider Business Practice Location Address
First Line	:	6058 LANKERSHIM BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4806
Country	:	US
Telephone Number	:	818-384-1003
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	LUSINE SAAKYAN
Credential	:	DDS
Telephone Number	:	818-384-1003

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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