Provider Demographics
NPI:1548967714
Name:GEVORG GEORGE KARAYAN DDS, INC.
Entity type:Organization
Organization Name:GEVORG GEORGE KARAYAN DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEVORG
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:KARAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-388-7377
Mailing Address - Street 1:13741 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2348
Mailing Address - Country:US
Mailing Address - Phone:818-753-8883
Mailing Address - Fax:
Practice Address - Street 1:13741 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2348
Practice Address - Country:US
Practice Address - Phone:818-753-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty