Provider Demographics
NPI:1902044068
Name:TEHRANY, ARYA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARYA
Middle Name:
Last Name:TEHRANY
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 1:2933 LAKERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1807
Mailing Address - Country:US
Mailing Address - Phone:818-231-9197
Mailing Address - Fax:
Practice Address - Street 1:2933 LAKERIDGE DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1807
Practice Address - Country:US
Practice Address - Phone:818-231-9197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1505751223E0200X
CA554841223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics