Provider Demographics
NPI:1770054611
Name:PIRIAN DENTAL GROUP PROF CORP
Entity type:Organization
Organization Name:PIRIAN DENTAL GROUP PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PIRIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-435-3405
Mailing Address - Street 1:14712 PARTHENIA ST STE E
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-2992
Mailing Address - Country:US
Mailing Address - Phone:818-830-6070
Mailing Address - Fax:
Practice Address - Street 1:14712 PARTHENIA ST STE E
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-2992
Practice Address - Country:US
Practice Address - Phone:818-830-6070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty