Provider Demographics
NPI:1356841951
Name:MARYAM TORABIAN DDS INC
Entity Type:Organization
Organization Name:MARYAM TORABIAN DDS INC
Other - Org Name:SACRAMENTO SPA DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TORABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-213-7845
Mailing Address - Street 1:2441 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-5121
Mailing Address - Country:US
Mailing Address - Phone:916-213-7845
Mailing Address - Fax:
Practice Address - Street 1:2441 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-9560
Practice Address - Country:US
Practice Address - Phone:916-213-7845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental