Provider Demographics
NPI:1588822530
Name:HAROON, FARNAZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:FARNAZ
Middle Name:
Last Name:HAROON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44319 SILVER CANYON LN
Mailing Address - Street 2:
Mailing Address - City:PALM DERSERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3078
Mailing Address - Country:US
Mailing Address - Phone:619-764-1604
Mailing Address - Fax:
Practice Address - Street 1:44319 SILVER CANYON LN
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3078
Practice Address - Country:US
Practice Address - Phone:619-764-1604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA491071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice