Provider Demographics
NPI:1497143952
Name:YAZDANI & NADIR DDS INC
Entity Type:Organization
Organization Name:YAZDANI & NADIR DDS INC
Other - Org Name:ALHAMBRA GARFIELD DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAHLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NADIR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-289-6815
Mailing Address - Street 1:747 S GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4438
Mailing Address - Country:US
Mailing Address - Phone:626-289-6815
Mailing Address - Fax:626-289-5526
Practice Address - Street 1:747 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4438
Practice Address - Country:US
Practice Address - Phone:626-289-6815
Practice Address - Fax:626-289-5526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty