Provider Demographics
NPI:1609887025
Name:BOYAJIAN, GARY CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:CHRISTOPHER
Last Name:BOYAJIAN
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 1:205 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FERRY
Mailing Address - State:NJ
Mailing Address - Zip Code:07643-2044
Mailing Address - Country:US
Mailing Address - Phone:201-342-8585
Mailing Address - Fax:201-807-9136
Practice Address - Street 1:205 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:LITTLE FERRY
Practice Address - State:NJ
Practice Address - Zip Code:07643-2044
Practice Address - Country:US
Practice Address - Phone:201-342-8585
Practice Address - Fax:201-807-9136
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ013834122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist