Provider Demographics
NPI:1346558061
Name:RICHMOND DENTAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:RICHMOND DENTAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBRIK
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-621-7777
Mailing Address - Street 1:6430 RICHMOND AVE
Mailing Address - Street 2:SUITE # 110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5917
Mailing Address - Country:US
Mailing Address - Phone:713-621-7777
Mailing Address - Fax:
Practice Address - Street 1:6430 RICHMOND AVE
Practice Address - Street 2:SUITE # 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5917
Practice Address - Country:US
Practice Address - Phone:713-621-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15195122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty