Provider Demographics
NPI:1629160643
Name:IYER, PARVATI HARI (DDS)
Entity Type:Individual
Prefix:DR
First Name:PARVATI
Middle Name:HARI
Last Name:IYER
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 1:1304 GINGERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-2430
Mailing Address - Country:US
Mailing Address - Phone:858-775-5052
Mailing Address - Fax:
Practice Address - Street 1:39340 FREMONT BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1320
Practice Address - Country:US
Practice Address - Phone:510-651-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA601801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice