Provider Demographics
NPI:1558732909
Name:GENTLEBIODENTISTRY
Entity Type:Organization
Organization Name:GENTLEBIODENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FARZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAMIRAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-883-7070
Mailing Address - Street 1:7138 SHOUP AVE SUITE B7
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307
Mailing Address - Country:US
Mailing Address - Phone:818-883-7070
Mailing Address - Fax:
Practice Address - Street 1:7138 SHOUP AVE # SUITEB7
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2383
Practice Address - Country:US
Practice Address - Phone:818-883-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management