Provider Demographics
NPI:1487301057
Name:ASSAL ASLANI, DDS, INC
Entity type:Organization
Organization Name:ASSAL ASLANI, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASSAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-390-5867
Mailing Address - Street 1:73733 FRED WARING DR STE 207
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2591
Mailing Address - Country:US
Mailing Address - Phone:760-346-1414
Mailing Address - Fax:
Practice Address - Street 1:73733 FRED WARING DR STE 207
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2591
Practice Address - Country:US
Practice Address - Phone:760-346-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty