Provider Demographics
NPI:1821359084
Name:PARVIZPOUR, SHAHRIAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHAHRIAR
Middle Name:
Last Name:PARVIZPOUR
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 1:8152 PAINTER AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3100
Mailing Address - Country:US
Mailing Address - Phone:562-698-8272
Mailing Address - Fax:
Practice Address - Street 1:8152 PAINTER AVE
Practice Address - Street 2:STE 101
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3100
Practice Address - Country:US
Practice Address - Phone:562-698-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA427561223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics