Provider Demographics
NPI:1891477733
Name:DARBANDI, SAMIRA SAHAR (DDS)
Entity Type:Individual
Prefix:
First Name:SAMIRA
Middle Name:SAHAR
Last Name:DARBANDI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30147 RANCHO CALIFORNIA RD APT 726
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-5496
Mailing Address - Country:US
Mailing Address - Phone:918-852-7205
Mailing Address - Fax:
Practice Address - Street 1:31843 RANCHO CALIFORNIA RD STE 300
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5120
Practice Address - Country:US
Practice Address - Phone:951-676-2613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108911122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist