Provider Demographics
NPI:1689077265
Name:JOURIY GRKIKIAN DDS INC
Entity Type:Organization
Organization Name:JOURIY GRKIKIAN DDS INC
Other - Org Name:Y2K DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOURIY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRKIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-986-4600
Mailing Address - Street 1:14847 MAGNOLIA BLVD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1329
Mailing Address - Country:US
Mailing Address - Phone:818-986-4600
Mailing Address - Fax:818-986-2310
Practice Address - Street 1:14847 MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1329
Practice Address - Country:US
Practice Address - Phone:818-986-4600
Practice Address - Fax:818-986-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41412122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty