Provider Demographics
NPI:1891911061
Name:PARIKH, PINAKIN OCHHAVLAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:PINAKIN
Middle Name:OCHHAVLAL
Last Name:PARIKH
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 1:204 N PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731-2016
Mailing Address - Country:US
Mailing Address - Phone:310-832-0291
Mailing Address - Fax:
Practice Address - Street 1:204 N PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-2016
Practice Address - Country:US
Practice Address - Phone:310-832-0291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29943122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist