Provider Demographics
NPI:1235278599
Name:B DANIEL BINAFARD DDS
Entity Type:Organization
Organization Name:B DANIEL BINAFARD DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:B
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:BINAFARD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-863-8779
Mailing Address - Street 1:14034 S PIONEER BLVD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650
Mailing Address - Country:US
Mailing Address - Phone:562-863-8779
Mailing Address - Fax:562-868-0802
Practice Address - Street 1:14034 S PIONEER BLVD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650
Practice Address - Country:US
Practice Address - Phone:562-863-8779
Practice Address - Fax:562-868-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA373881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty