Individual
SIUNEH MINASSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17315 TENNYSON PL, GRANADA HILLS, CA 91344-1007
(818) 296-5941
Mailing address
17315 TENNYSON PL, GRANADA HILLS, CA 91344-1007
(818) 296-5941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS105812
CA
1223P0221X
Pediatric Dentistry
Primary
DDS105812
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/22/2019
Last updated
07/30/2025
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