Provider Demographics
NPI:1013148246
Name:TEHRANY, GABRIELLA M (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:GABRIELLA
Middle Name:M
Last Name:TEHRANY
Suffix:
Gender:F
Credentials:MD, DDS
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Mailing Address - Street 1:1645 VINE ST
Mailing Address - Street 2:#906
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-8839
Mailing Address - Country:US
Mailing Address - Phone:310-617-6462
Mailing Address - Fax:866-340-8911
Practice Address - Street 1:1645 VINE ST
Practice Address - Street 2:#906
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-8839
Practice Address - Country:US
Practice Address - Phone:310-617-6462
Practice Address - Fax:866-340-8911
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA530601223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery