Individual
ARMOND KOTIKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., DDS
Contact information
Practice address
242 N. GLENDALE AVE, GLENDALE, CA 91206
(818) 484-8939
Mailing address
242 N GLENDALE AVE, GLENDALE, CA 91206-4454
(818) 484-8939
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
49568
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
106145
CA
390200000X
Student in an Organized Health Care Education/Training Program
4301086538
MI
Other
Enumeration date
04/09/2007
Last updated
05/02/2013
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