Provider Demographics
NPI:1811769375
Name:VARAND KERIKORIAN, DDS A PROFESSIONAL DENTAL CORP
Entity type:Organization
Organization Name:VARAND KERIKORIAN, DDS A PROFESSIONAL DENTAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VARAND
Authorized Official - Middle Name:
Authorized Official - Last Name:KERIKORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-238-9700
Mailing Address - Street 1:1820 W BURBANK BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1348
Mailing Address - Country:US
Mailing Address - Phone:818-736-5010
Mailing Address - Fax:818-751-2735
Practice Address - Street 1:1820 W BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1348
Practice Address - Country:US
Practice Address - Phone:818-736-5010
Practice Address - Fax:818-751-2735
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VARAND KERIKORIAN, DDS A PROFESSIONAL DENTAL CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-26
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty