Provider Demographics
NPI:1629260153
Name:TIRGARI, ASHKAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHKAN
Middle Name:
Last Name:TIRGARI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28040 DOROTHY DR STE 202
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4916
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:714-282-0243
Practice Address - Street 1:28040 DOROTHY DR STE 202
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4916
Practice Address - Country:US
Practice Address - Phone:310-740-0741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA524791223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry