Provider Demographics
NPI:1407491434
Name:VAHE VORPERIAN DDS INC
Entity Type:Organization
Organization Name:VAHE VORPERIAN DDS INC
Other - Org Name:ETON DENTAL OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VAHE
Authorized Official - Middle Name:
Authorized Official - Last Name:VORPERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-342-1894
Mailing Address - Street 1:12114 DARBY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1114
Mailing Address - Country:US
Mailing Address - Phone:818-464-6866
Mailing Address - Fax:
Practice Address - Street 1:21300 SHERMAN WAY STE 15
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3697
Practice Address - Country:US
Practice Address - Phone:818-464-6866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VAHE VORPERIAN DDS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-13
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1457784266OtherMEDICAL