Organization · NPI-2

Abraham Ghorbanian Dental Corporation

Dentist · Riverside, CA

NPI number1154856250
StatusActive
Last updated in NPPESApr 26, 2017

Details

NPI
1154856250
Entity type
Organization (NPI-2)
Legal business name
Abraham Ghorbanian Dental Corporation
Organization subpart
No
Enumeration date
Apr 26, 2017
Last updated
Apr 26, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist53515CAYes

Other names

  • Aava Dental Of Riverside (Doing Business As)

Practice location

10110 Indiana Ave
Riverside, CA 92503-5346

Phone 951-977-8593

Mailing address

10110 Indiana Ave
Riverside, CA 92503-5346

Phone 949-450-0076

Authorized official

Abraham Ghorbanian
Management Director
9494500076

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