Provider Demographics
NPI:1780978965
Name:ELPERIN,GHORBANIAN PLLC
Entity type:Organization
Organization Name:ELPERIN,GHORBANIAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRONT OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-528-3373
Mailing Address - Street 1:3408 W NOB HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-4731
Mailing Address - Country:US
Mailing Address - Phone:509-457-5050
Mailing Address - Fax:509-457-4700
Practice Address - Street 1:3408 W NOB HILL BLVD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-4731
Practice Address - Country:US
Practice Address - Phone:509-457-5050
Practice Address - Fax:509-457-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-05
Last Update Date:2011-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty