Provider Demographics
NPI:1548417439
Name:NAGHMEH YADEGAR, D.D.S., INC.
Entity Type:Organization
Organization Name:NAGHMEH YADEGAR, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-777-1188
Mailing Address - Street 1:14545 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-1054
Mailing Address - Country:US
Mailing Address - Phone:562-777-1188
Mailing Address - Fax:562-777-1198
Practice Address - Street 1:14545 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-1054
Practice Address - Country:US
Practice Address - Phone:562-777-1188
Practice Address - Fax:562-777-1198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA432701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty