Provider Demographics
NPI:1205399789
Name:PAZ AND TAMIR DENTAL CORPORATION
Entity Type:Organization
Organization Name:PAZ AND TAMIR DENTAL CORPORATION
Other - Org Name:PEZESHK AND TAMIR DENTAL CRP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BABAK
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:PEZESHK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-693-8790
Mailing Address - Street 1:6716 GREENLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4109
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6716 GREENLEAF AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4109
Practice Address - Country:US
Practice Address - Phone:562-693-8790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty