Provider Demographics
NPI:1144382276
Name:AFSHARI, NAHID (DDS)
Entity Type:Individual
Prefix:
First Name:NAHID
Middle Name:
Last Name:AFSHARI
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 1:79 DOT AVE APT A
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2754
Mailing Address - Country:US
Mailing Address - Phone:408-370-1385
Mailing Address - Fax:
Practice Address - Street 1:1229 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-2826
Practice Address - Country:US
Practice Address - Phone:831-442-8000
Practice Address - Fax:831-444-6847
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55259122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist