Provider Demographics
NPI:1043304124
Name:BARRY KASHFIAN DMD
Entity Type:Organization
Organization Name:BARRY KASHFIAN DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PROSTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KASHFIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:310-553-1578
Mailing Address - Street 1:2080 CENTURY PARK E
Mailing Address - Street 2:STE 1406
Mailing Address - City:CENTURY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90067
Mailing Address - Country:US
Mailing Address - Phone:310-553-1578
Mailing Address - Fax:310-553-4844
Practice Address - Street 1:2080 CENTURY PARK E
Practice Address - Street 2:STE 1406
Practice Address - City:CENTURY CITY
Practice Address - State:CA
Practice Address - Zip Code:90067
Practice Address - Country:US
Practice Address - Phone:310-553-1578
Practice Address - Fax:310-553-4844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304031223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty