Provider Demographics
NPI:1700933207
Name:KUREGHIAN, NAIRI (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAIRI
Middle Name:
Last Name:KUREGHIAN
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 1:18250 ROSCOE BLVD STE 355
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4287
Mailing Address - Country:US
Mailing Address - Phone:818-701-6197
Mailing Address - Fax:818-701-6198
Practice Address - Street 1:18250 ROSCOE BLVD STE 355
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325
Practice Address - Country:US
Practice Address - Phone:818-701-6197
Practice Address - Fax:818-701-6198
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA416361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice