Provider Demographics
NPI:1144517343
Name:KIRAJ & MURADYAN DENTAL CORPORATION
Entity type:Organization
Organization Name:KIRAJ & MURADYAN DENTAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGING DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:KIRK
Authorized Official - Last Name:KIRAJ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-666-0226
Mailing Address - Street 1:3600 N VERDUGO RD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1219
Mailing Address - Country:US
Mailing Address - Phone:818-541-1110
Mailing Address - Fax:818-541-1444
Practice Address - Street 1:3600 N VERDUGO RD
Practice Address - Street 2:SUITE #201
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1219
Practice Address - Country:US
Practice Address - Phone:818-541-1110
Practice Address - Fax:818-541-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57360261QD0000X
CA56744261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental