Provider Demographics
NPI:1811024227
Name:PAREGIAN, SAM (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:
Last Name:PAREGIAN
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Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:1601 MCHENRY VILLAGE WY
Mailing Address - Street 2:#8
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350
Mailing Address - Country:US
Mailing Address - Phone:209-529-4872
Mailing Address - Fax:209-529-4107
Practice Address - Street 1:1601 MCHENRY VILLAGE WY
Practice Address - Street 2:#8
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350
Practice Address - Country:US
Practice Address - Phone:209-529-4872
Practice Address - Fax:209-529-4107
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA134141223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics