Provider Demographics
NPI:1891816773
Name:NOURIAN, LEYLA (DDS)
Entity type:Individual
Prefix:DR
First Name:LEYLA
Middle Name:
Last Name:NOURIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17000 PRESTON RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1224
Mailing Address - Country:US
Mailing Address - Phone:972-818-2244
Mailing Address - Fax:972-818-9500
Practice Address - Street 1:17000 PRESTON RD
Practice Address - Street 2:SUITE 170
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1224
Practice Address - Country:US
Practice Address - Phone:972-818-2244
Practice Address - Fax:972-818-9500
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice