Provider Demographics
NPI:1225278294
Name:TALIM DDS INC.
Entity Type:Organization
Organization Name:TALIM DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYDEEP
Authorized Official - Middle Name:SHASHIKUMAR
Authorized Official - Last Name:TALIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-903-9963
Mailing Address - Street 1:12793 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-4003
Mailing Address - Country:US
Mailing Address - Phone:714-903-9963
Mailing Address - Fax:714-903-0026
Practice Address - Street 1:12793 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-4003
Practice Address - Country:US
Practice Address - Phone:714-903-9963
Practice Address - Fax:714-903-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46143122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty