Provider Demographics
NPI:1144243494
Name:ESKANDARI, MARYAM NATASHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARYAM
Middle Name:NATASHA
Last Name:ESKANDARI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARYAM
Other - Middle Name:
Other - Last Name:ESKANDARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1843 HEALTH CARE DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5363
Mailing Address - Country:US
Mailing Address - Phone:727-372-2001
Mailing Address - Fax:727-372-2400
Practice Address - Street 1:1843 HEALTH CARE DR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-5363
Practice Address - Country:US
Practice Address - Phone:727-372-2001
Practice Address - Fax:727-372-2400
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15013122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist