Provider Demographics
NPI:1154476729
Name:PAJAND, AZITA (DMD)
Entity Type:Individual
Prefix:DR
First Name:AZITA
Middle Name:
Last Name:PAJAND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:AZITA
Other - Middle Name:
Other - Last Name:PAJAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:321 RATHBOURNE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-0238
Mailing Address - Country:US
Mailing Address - Phone:714-832-5866
Mailing Address - Fax:
Practice Address - Street 1:2701 W. FIRST ST.
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703
Practice Address - Country:US
Practice Address - Phone:714-480-7979
Practice Address - Fax:714-835-6954
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46916122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist