Provider Demographics
NPI:1215123591
Name:NARINE DANIELIAN DDS, INC.
Entity type:Organization
Organization Name:NARINE DANIELIAN DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-260-0274
Mailing Address - Street 1:4406 W MAGNOLIA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2729
Mailing Address - Country:US
Mailing Address - Phone:818-260-0274
Mailing Address - Fax:818-260-8743
Practice Address - Street 1:4406 W MAGNOLIA BLVD STE A
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2729
Practice Address - Country:US
Practice Address - Phone:818-260-0274
Practice Address - Fax:818-260-8743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49867261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental