Provider Demographics
NPI:1437895042
Name:DR. DAVID SHIRINIAN, DDS INC
Entity Type:Organization
Organization Name:DR. DAVID SHIRINIAN, DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:KARO
Authorized Official - Last Name:SHIRINIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-454-6382
Mailing Address - Street 1:2335 E COLORADO BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-6833
Mailing Address - Country:US
Mailing Address - Phone:626-381-9288
Mailing Address - Fax:626-381-9676
Practice Address - Street 1:2335 E COLORADO BLVD STE 105
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-6833
Practice Address - Country:US
Practice Address - Phone:626-381-9288
Practice Address - Fax:626-381-9676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental