Provider Demographics
NPI:1336268531
Name:SHAHINYAN, IRINA (DDS)
Entity Type:Individual
Prefix:MRS
First Name:IRINA
Middle Name:
Last Name:SHAHINYAN
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 1:18520 SOLEDAD CANYON RD STE G
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91351-3731
Mailing Address - Country:US
Mailing Address - Phone:661-252-2800
Mailing Address - Fax:661-252-2810
Practice Address - Street 1:18520 SOLEDAD CANYON RD STE G
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91351-3731
Practice Address - Country:US
Practice Address - Phone:661-252-2800
Practice Address - Fax:661-252-2810
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53730122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist