Provider Demographics
NPI:1154196426
Name:ZANDKARIMI DENTAL
Entity type:Organization
Organization Name:ZANDKARIMI DENTAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:FSRNAZ
Authorized Official - Middle Name:ZAND
Authorized Official - Last Name:ZANDKARIMI
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR
Authorized Official - Phone:818-845-7611
Mailing Address - Street 1:212 E PROVIDENCIA AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1432
Mailing Address - Country:US
Mailing Address - Phone:818-845-7611
Mailing Address - Fax:818-845-1048
Practice Address - Street 1:212 E PROVIDENCIA AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1432
Practice Address - Country:US
Practice Address - Phone:818-845-7611
Practice Address - Fax:818-845-1048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty