Provider Demographics
NPI:1578990271
Name:ARSHAD, FARAH (DMD)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:ARSHAD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4655 CASS ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-2810
Mailing Address - Country:US
Mailing Address - Phone:858-362-3540
Mailing Address - Fax:
Practice Address - Street 1:4655 CASS ST STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-2810
Practice Address - Country:US
Practice Address - Phone:858-362-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62162122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist