Individual
DR. IRINA VARDANYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
336 E HANES MILL RD, WINSTON SALEM, NC 27105-9135
(336) 450-2077
Mailing address
400 S 40TH ST APT 122, PHILADELPHIA, PA 19104-6701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14752
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/10/2026
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