# ABRAHAM GHORBANIAN DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aava Dental of Riverside
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154856250
- **Authorized official:** DR. ABRAHAM GHORBANIAN (MANAGEMENT DIRECTOR)
- **Authorized official phone:** (949) 450-0076

## Contact information

- **Practice address:** 10110 INDIANA AVE, RIVERSIDE, CA 92503-5346
- **Practice address phone:** (951) 977-8593
- **Mailing address:** 10110 INDIANA AVE, RIVERSIDE, CA 92503-5346
- **Mailing address phone:** (949) 450-0076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 53515 | CA | Yes |

## Other

- **Enumeration date:** 04/26/2017
- **Last updated:** 04/26/2017