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General NPI Number Information
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NPI Number | 1922841923
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Entity Type | Organization
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Legal Business Name | GILDA BANKIAN DDS, INC
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 2637 N GRAND AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-8707
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Country | US
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Telephone | 949-426-0318
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Fax |
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Provider Business Mailing Address
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Address Line | 134 BRIARWOOD
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City | IRVINE
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State | CA
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Zip | 92604-3751
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Country | US
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Telephone | 317-652-9104
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GILDA BANKIAN
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Credential | DDS
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Telephone | 317-652-9104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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