Provider Demographics
NPI:1023982147
Name:VREJ SHAHMORADIAN D.D.S. INC.
Entity type:Organization
Organization Name:VREJ SHAHMORADIAN D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VREJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHMORADIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-942-1474
Mailing Address - Street 1:44725 10TH ST W STE 260
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3049
Mailing Address - Country:US
Mailing Address - Phone:661-942-1474
Mailing Address - Fax:
Practice Address - Street 1:44725 10TH ST W STE 260
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3049
Practice Address - Country:US
Practice Address - Phone:661-942-1474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental