Provider Demographics
NPI:1265636351
Name:FERI AFSHAR, D.D.S., M.S., INC.
Entity Type:Organization
Organization Name:FERI AFSHAR, D.D.S., M.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FERI
Authorized Official - Middle Name:D
Authorized Official - Last Name:AFSHAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:805-584-8444
Mailing Address - Street 1:1687 ERRINGER RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-6508
Mailing Address - Country:US
Mailing Address - Phone:805-584-8444
Mailing Address - Fax:805-584-3847
Practice Address - Street 1:1687 ERRINGER RD
Practice Address - Street 2:SUITE 207
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-6508
Practice Address - Country:US
Practice Address - Phone:805-584-8444
Practice Address - Fax:805-584-3847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0325261223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty