# MANSOUR, HATAE, HABIR, GHORBANIAN DENTAL CORPORATION

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

## Provider details

- **NPI number:** 1881129989
- **Authorized official:** DR. ABRAHAM GHORBANIAN (CEO/PRESIDENT)
- **Authorized official phone:** (949) 450-0076

## Contact information

- **Practice address:** 270 E 7TH ST STE 2C, UPLAND, CA 91786-6602
- **Practice address phone:** (909) 982-8501
- **Mailing address:** 270 E 7TH ST STE 2C, UPLAND, CA 91786-6602
- **Mailing address phone:** (909) 982-8501

## Taxonomy

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

## Other

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