Provider Demographics
NPI:1699466391
Name:JIRAIR GASPARIAN DENTAL CORPORATION
Entity type:Organization
Organization Name:JIRAIR GASPARIAN DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JIRAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-708-7187
Mailing Address - Street 1:8925 SEPULVEDA BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4346
Mailing Address - Country:US
Mailing Address - Phone:323-708-7187
Mailing Address - Fax:
Practice Address - Street 1:8925 SEPULVEDA BLVD STE 112
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-4346
Practice Address - Country:US
Practice Address - Phone:323-708-7187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental