Provider Demographics
NPI:1538280185
Name:PARHAM, SOHAIL (DDS)
Entity Type:Individual
Prefix:
First Name:SOHAIL
Middle Name:
Last Name:PARHAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12501 NORWALK BLVD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-2042
Mailing Address - Country:US
Mailing Address - Phone:562-929-0880
Mailing Address - Fax:562-929-4548
Practice Address - Street 1:12501 NORWALK BLVD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-2042
Practice Address - Country:US
Practice Address - Phone:562-929-0880
Practice Address - Fax:562-929-4548
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA382141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice