Provider Demographics
NPI:1861672685
Name:HAROUNIAN, SETAREH KATHERINE (DDS)
Entity type:Individual
Prefix:
First Name:SETAREH
Middle Name:KATHERINE
Last Name:HAROUNIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 PROSSER AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4834
Mailing Address - Country:US
Mailing Address - Phone:310-922-2010
Mailing Address - Fax:
Practice Address - Street 1:1831 PROSSER AVE
Practice Address - Street 2:APT 211
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4865
Practice Address - Country:US
Practice Address - Phone:310-922-2010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55553122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist