Provider Demographics
NPI:1205000668
Name:ARIARAD, SEPIDEH (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEPIDEH
Middle Name:
Last Name:ARIARAD
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 1:3565 TORRANCE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4847
Mailing Address - Country:US
Mailing Address - Phone:310-792-6262
Mailing Address - Fax:
Practice Address - Street 1:3565 TORRANCE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4847
Practice Address - Country:US
Practice Address - Phone:310-792-6262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA418121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics