Provider Demographics
NPI:1891131777
Name:ALI S.SHAHIDI DDS APDC
Entity Type:Organization
Organization Name:ALI S.SHAHIDI DDS APDC
Other - Org Name:PARAMOUNT DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHAHIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-633-3082
Mailing Address - Street 1:8524 1/2 ROSECRANS AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-3644
Mailing Address - Country:US
Mailing Address - Phone:562-633-3082
Mailing Address - Fax:562-633-3067
Practice Address - Street 1:8524 1/2 ROSECRANS AVE
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-3644
Practice Address - Country:US
Practice Address - Phone:562-633-3082
Practice Address - Fax:562-633-3067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty