Provider Demographics
NPI:1225587876
Name:SAM S MARKZAR DDS INC
Entity Type:Organization
Organization Name:SAM S MARKZAR DDS INC
Other - Org Name:BEVERLY HILLS PERIODONTAL ARTS & IMPLANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:MARKZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-360-7570
Mailing Address - Street 1:8500 WILSHIRE BLVD STE 819
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8500 WILSHIRE BLVD STE 819
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3106
Practice Address - Country:US
Practice Address - Phone:714-000-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-23
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty