Provider Demographics
NPI:1598845976
Name:FARAHMAND, ARTA (DDS)
Entity type:Individual
Prefix:DR
First Name:ARTA
Middle Name:
Last Name:FARAHMAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23326 HAWTHORNE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3757
Mailing Address - Country:US
Mailing Address - Phone:310-373-3501
Mailing Address - Fax:310-791-2615
Practice Address - Street 1:23326 HAWTHORNE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3757
Practice Address - Country:US
Practice Address - Phone:310-373-3501
Practice Address - Fax:310-791-2615
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA369201223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics