Provider Demographics
NPI:1922841923
Name:GILDA BANKIAN DDS, INC
Entity type:Organization
Organization Name:GILDA BANKIAN DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-652-9104
Mailing Address - Street 1:134 BRIARWOOD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-3751
Mailing Address - Country:US
Mailing Address - Phone:317-652-9104
Mailing Address - Fax:
Practice Address - Street 1:2637 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8707
Practice Address - Country:US
Practice Address - Phone:949-426-0318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty