Provider Demographics
NPI:1386488369
Name:ZARGAR, PARASTOO
Entity type:Individual
Prefix:
First Name:PARASTOO
Middle Name:
Last Name:ZARGAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16440 N 59TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-9204
Mailing Address - Country:US
Mailing Address - Phone:408-913-3707
Mailing Address - Fax:
Practice Address - Street 1:16440 N 59TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-9204
Practice Address - Country:US
Practice Address - Phone:408-913-3707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD012241122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist