Provider Demographics
NPI:1740361245
Name:TOURIAN, SHAHEEN (DDS)
Entity type:Individual
Prefix:
First Name:SHAHEEN
Middle Name:
Last Name:TOURIAN
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 1:9855 ERMA RD
Mailing Address - Street 2:SUITE 137
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-3001
Mailing Address - Country:US
Mailing Address - Phone:858-566-8516
Mailing Address - Fax:858-566-8403
Practice Address - Street 1:9855 ERMA RD
Practice Address - Street 2:SUITE 137
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-3001
Practice Address - Country:US
Practice Address - Phone:858-566-8516
Practice Address - Fax:858-566-8403
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA473301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice