Provider Demographics
NPI:1396382495
Name:NARBEH BANDARY DENTAL CORP
Entity Type:Organization
Organization Name:NARBEH BANDARY DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NARBEH
Authorized Official - Middle Name:
Authorized Official - Last Name:BANDARY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-606-0122
Mailing Address - Street 1:3600 N VERDUGO RD STE 207
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1258
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4910 VAN NUYS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1718
Practice Address - Country:US
Practice Address - Phone:818-783-5234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-08
Last Update Date:2019-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty