Provider Demographics
NPI:1871482877
Name:AUSTIN NAHOURAY DENTAL CORPORATION
Entity type:Organization
Organization Name:AUSTIN NAHOURAY DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAHOURAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-612-3559
Mailing Address - Street 1:2337 ROSCOMARE RD STE 2-326
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-1854
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8200 LONG BEACH BLVD STE E
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-2075
Practice Address - Country:US
Practice Address - Phone:323-581-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty