MEDICARE: DR. DINO GHARIBIAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	59345	CA

General Provider Information

NPI Number	:	1225338031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DINO GHARIBIAN DDS

Provider Business Mailing Address
First Line	:	428 ARDEN AVE STE 200
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4012
Country	:	US
Telephone Number	:	818-848-5591
Fax Number	:

Provider Business Practice Location Address
First Line	:	428 ARDEN AVE STE 200
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4012
Country	:	US
Telephone Number	:	818-848-5591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	01/03/2025

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