Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariam Noemi Khachatrian, DDS

Individual provider Dentist · NPI 1093598500

Mariam Noemi Khachatrian, DDS is a Dentist in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

515 W Broadway Apt 214
Glendale, CA 91204-1082
Phone: (818) 482-4159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 109116 (CA)

Record details

NPI number1093598500
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 17, 2023
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address515 W Broadway Apt 214, Glendale, CA 91204-1082

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