Provider Demographics
NPI:1275857617
Name:AZARMI-POUR, PARNIAN PAULINE (DDS)
Entity Type:Individual
Prefix:
First Name:PARNIAN
Middle Name:PAULINE
Last Name:AZARMI-POUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21530 MARCHENA ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-4320
Mailing Address - Country:US
Mailing Address - Phone:310-666-3430
Mailing Address - Fax:818-907-0511
Practice Address - Street 1:21530 MARCHENA ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-4320
Practice Address - Country:US
Practice Address - Phone:310-666-3430
Practice Address - Fax:818-907-0511
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-14
Last Update Date:2010-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43314122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist