Provider Demographics
NPI:1063625580
Name:FEIR, PILAR (DENTIST)
Entity type:Individual
Prefix:
First Name:PILAR
Middle Name:
Last Name:FEIR
Suffix:
Gender:F
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 EASTWIND ST
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5735
Mailing Address - Country:US
Mailing Address - Phone:310-291-1446
Mailing Address - Fax:
Practice Address - Street 1:12740 CULVER BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-1640
Practice Address - Country:US
Practice Address - Phone:310-291-1446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA467921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice