Provider Demographics
NPI:1346704681
Name:ASKARI, VANDAD F (DDS)
Entity Type:Individual
Prefix:DR
First Name:VANDAD
Middle Name:F
Last Name:ASKARI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:VANDAT
Other - Middle Name:F
Other - Last Name:ASKARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:18851 LA AMISTAD PL
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-5211
Mailing Address - Country:US
Mailing Address - Phone:818-631-0027
Mailing Address - Fax:
Practice Address - Street 1:5795 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-7336
Practice Address - Country:US
Practice Address - Phone:301-572-6167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50032122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist