Provider Demographics
NPI:1639218365
Name:ABRAMIAN, PRIYA (DDS)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:
Last Name:ABRAMIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5589 N LITTLE RIVER LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1769
Mailing Address - Country:US
Mailing Address - Phone:520-887-9054
Mailing Address - Fax:520-544-4172
Practice Address - Street 1:5920 N LA CHOLLA BLVD
Practice Address - Street 2:STE 110
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3590
Practice Address - Country:US
Practice Address - Phone:520-544-4171
Practice Address - Fax:520-544-4172
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ71171223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry