Provider Demographics
NPI:1922994482
Name:KANKANYAN, DAVIT (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVIT
Middle Name:
Last Name:KANKANYAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7539 BELLINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-3682
Mailing Address - Country:US
Mailing Address - Phone:818-987-9204
Mailing Address - Fax:
Practice Address - Street 1:7539 BELLINGHAM AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-3682
Practice Address - Country:US
Practice Address - Phone:818-987-9204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111574122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist