Provider Demographics
NPI:1659530889
Name:ZADEH, PARSA TAGHI (DDS, FAGD)
Entity Type:Individual
Prefix:DR
First Name:PARSA
Middle Name:TAGHI
Last Name:ZADEH
Suffix:
Gender:M
Credentials:DDS, FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 WILSHIRE BLVD
Mailing Address - Street 2:SUITE NUMBER W448
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3415
Mailing Address - Country:US
Mailing Address - Phone:310-273-9919
Mailing Address - Fax:310-273-3319
Practice Address - Street 1:9100 WILSHIRE BLVD
Practice Address - Street 2:SUITE NUMBER W448
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3415
Practice Address - Country:US
Practice Address - Phone:310-273-9919
Practice Address - Fax:310-273-3319
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA351731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice