Perez Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

39063

Legal business name

PEREZ DENTAL CORP

Practice address

125 E Glenoaks Blvd
Suite 103
Glendale, CA 91207

Phone

(818) 246-3736

Fax

(818) 246-9436

NPI assigned

Jan 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Azatui Akopyan

Title

Office Manager

Phone

(818) 246-3736

Specialties & licenses 1

Addresses

Other names 1

• Perez Dental Corp Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982761573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E GLENOAKS BLVD",
            "address_2": "SUITE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91207",
            "telephone_number": "818-246-3736",
            "fax_number": "818-246-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E GLENOAKS BLVD",
            "address_2": "SUITE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91207",
            "telephone_number": "818-246-3736",
            "fax_number": "818-246-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AKOPYAN",
        "authorized_official_first_name": "AZATUI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-246-3736"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": "39063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perez Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Debbie Hwa-Yun Peng, MD
• Paul Logronio Penoliar, OTR/L C/NDT
• Penta Star Inc
• Megan Courtney Pepper, FNP
• Mirihana Arachchige Senani ('Senani Mariya Perera-Garrity
• Xochitl Marlenne Perez Gaytan Jr.
• Diana Karen Perez Higareda
• Perez Surgical Medical Group
• Aida Perez
• Crystal Monique Perez

• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.