Provider Demographics
NPI:1831309038
Name:SHOHREH TOURIAN DDS INC
Entity Type:Organization
Organization Name:SHOHREH TOURIAN DDS INC
Other - Org Name:MISSION GORGE FAMILY & COSMETIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHOHREH
Authorized Official - Middle Name:
Authorized Official - Last Name:TOURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-582-3000
Mailing Address - Street 1:7451 MISSION GORGE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-1301
Mailing Address - Country:US
Mailing Address - Phone:619-582-3000
Mailing Address - Fax:619-582-3049
Practice Address - Street 1:7451 MISSION GORGE RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-1301
Practice Address - Country:US
Practice Address - Phone:619-582-3000
Practice Address - Fax:619-582-3049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA465331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty