Provider Demographics
NPI:1982491270
Name:FARZIN DENTISTRY PLLC
Entity type:Organization
Organization Name:FARZIN DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MANOUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:FARZIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:602-510-4020
Mailing Address - Street 1:1941 W GUADALUPE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-7484
Mailing Address - Country:US
Mailing Address - Phone:602-510-4020
Mailing Address - Fax:
Practice Address - Street 1:1941 W GUADALUPE RD STE 120
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-7484
Practice Address - Country:US
Practice Address - Phone:602-510-4020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental