Healthcare Provider Details

I. General information

NPI: 1891632667
Provider Name (Legal Business Name): NAKASHYAN AND WAKI DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E OLIVE AVE STE 660
BURBANK CA
91501-2132
US

IV. Provider business mailing address

3808 W RIVERSIDE DR STE 204
BURBANK CA
91505-4339
US

V. Phone/Fax

Practice location:
  • Phone: 818-567-0100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. VAHE NAKASHYAN
Title or Position: CEO
Credential: DDS
Phone: 818-567-0100