Provider Demographics
NPI:1912291246
Name:PARIS DENTAL INC.
Entity type:Organization
Organization Name:PARIS DENTAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHADIMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-750-3300
Mailing Address - Street 1:160 PARIS AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NORTHVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07647-2042
Mailing Address - Country:US
Mailing Address - Phone:201-750-3300
Mailing Address - Fax:201-666-4446
Practice Address - Street 1:160 PARIS AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:NORTHVALE
Practice Address - State:NJ
Practice Address - Zip Code:07647-2042
Practice Address - Country:US
Practice Address - Phone:201-750-3300
Practice Address - Fax:201-666-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01990205261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental