Provider Demographics
NPI:1053435628
Name:HOPKINS, MARILYN GARABEDIAN (DMD)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:GARABEDIAN
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 N BRAND BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2511
Mailing Address - Country:US
Mailing Address - Phone:818-240-3700
Mailing Address - Fax:818-240-2301
Practice Address - Street 1:1141 N BRAND BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2511
Practice Address - Country:US
Practice Address - Phone:818-240-3700
Practice Address - Fax:818-240-2301
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA392651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice