Provider Demographics
NPI:1427139609
Name:KARBASSI, PARHAM (DDS)
Entity type:Individual
Prefix:DR
First Name:PARHAM
Middle Name:
Last Name:KARBASSI
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 1:647 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-1633
Mailing Address - Country:US
Mailing Address - Phone:925-228-0436
Mailing Address - Fax:925-228-1262
Practice Address - Street 1:647 GREEN ST
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-1633
Practice Address - Country:US
Practice Address - Phone:925-228-0436
Practice Address - Fax:925-228-1262
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA464811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice