Provider Demographics
NPI:1508899592
Name:TURKMANI, WASIM (DDS)
Entity Type:Individual
Prefix:DR
First Name:WASIM
Middle Name:
Last Name:TURKMANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:WASIM
Other - Middle Name:
Other - Last Name:TURKMANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:4292 LINCOLN BLVD
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5655
Mailing Address - Country:US
Mailing Address - Phone:310-578-5000
Mailing Address - Fax:310-578-5003
Practice Address - Street 1:4292 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5655
Practice Address - Country:US
Practice Address - Phone:310-578-5000
Practice Address - Fax:310-578-5003
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48396122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist