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Provider Information for 1659589109

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ROBERT KHANIAN D.D.S

Gender: MALE

Individual NPI: 1659589109

Calendar   Last Updated:  2007-11-02
  Certification Date: 

Details

Name Value
NPI 1659589109
Enumeration Date 2007-05-18
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 18456 CLARK ST
TARZANA, CA 91356-3504
United States

Phone: 818-343-2244 | Fax: 818-343-4182
View Map External Link
Primary Practice Address 18456 CLARK ST
TARZANA, CA 91356-3504
United States

Phone: 818-343-2244 | Fax: 818-343-4182
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 39165
No 124Q00000X - Dental Hygienist
No 126800000X - Dental Assistant