Provider Demographics
NPI:1215070800
Name:PINAR, DANIEL T (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:T
Last Name:PINAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 MELROSE AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-5145
Mailing Address - Country:US
Mailing Address - Phone:310-659-1000
Mailing Address - Fax:310-659-3536
Practice Address - Street 1:8500 MELROSE AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-5145
Practice Address - Country:US
Practice Address - Phone:310-659-1000
Practice Address - Fax:310-659-3536
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56453122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist