Provider Demographics
NPI:1780004861
Name:ADORJAN, GABOR (DMD)
Entity type:Individual
Prefix:DR
First Name:GABOR
Middle Name:
Last Name:ADORJAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:GABE
Other - Middle Name:
Other - Last Name:ADORJAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:17139 VOSE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE BALBOA
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3631
Mailing Address - Country:US
Mailing Address - Phone:818-723-6638
Mailing Address - Fax:
Practice Address - Street 1:5300 TOPANGA CANYON BLVD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1718
Practice Address - Country:US
Practice Address - Phone:818-886-1076
Practice Address - Fax:818-678-9863
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA626391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice