Provider Demographics
NPI:1457784266
Name:VAHE VORPERIAN DDS INC
Entity Type:Organization
Organization Name:VAHE VORPERIAN DDS INC
Other - Org Name:FIVE STAR FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VAHE
Authorized Official - Middle Name:
Authorized Official - Last Name:VORPERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-342-1894
Mailing Address - Street 1:7550 TAMPA AVE
Mailing Address - Street 2:STE H
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-2481
Mailing Address - Country:US
Mailing Address - Phone:818-342-1894
Mailing Address - Fax:818-342-1893
Practice Address - Street 1:7550 TAMPA AVE
Practice Address - Street 2:STE H
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2481
Practice Address - Country:US
Practice Address - Phone:818-342-1894
Practice Address - Fax:818-342-1893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty