Provider Demographics
NPI:1407334873
Name:KARIMIAN, VAHE ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:VAHE
Middle Name:ALLEN
Last Name:KARIMIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 N PACIFIC AVE STE O
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3643
Mailing Address - Country:US
Mailing Address - Phone:818-309-6773
Mailing Address - Fax:
Practice Address - Street 1:818 N PACIFIC AVE STE O
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3643
Practice Address - Country:US
Practice Address - Phone:818-309-6773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-29
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1029211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice