Abraham Ghorbanian Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

53515 Issued in CA

Legal business name

ABRAHAM GHORBANIAN DENTAL CORPORATION

Doing business as

Aava Dental of Riverside

Practice address

10110 Indiana Ave
Riverside, CA 92503-5346

Phone

(951) 977-8593

NPI assigned

Apr 26, 2017

Last updated

Apr 26, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Abraham Ghorbanian

Title

Management Director

Phone

(949) 450-0076

Specialties & licenses 1

Addresses

Other names 1

• Aava Dental of Riverside Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1154856250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035346",
            "telephone_number": "949-450-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035346",
            "telephone_number": "951-977-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM GHORBANIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "GHORBANIAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "MANAGEMENT DIRECTOR",
        "authorized_official_telephone_number": "949-450-0076",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aava Dental of Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.