Provider Demographics
NPI:1942451638
Name:ASMATH NOOR DDS A PROFESSIONAL
Entity Type:Organization
Organization Name:ASMATH NOOR DDS A PROFESSIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ASMATH
Authorized Official - Middle Name:S
Authorized Official - Last Name:NOOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-863-8600
Mailing Address - Street 1:11274 E. FIRESTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650
Mailing Address - Country:US
Mailing Address - Phone:562-863-8600
Mailing Address - Fax:562-863-8393
Practice Address - Street 1:11274 FIRESTONE BLVD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650
Practice Address - Country:US
Practice Address - Phone:562-863-8600
Practice Address - Fax:562-863-8393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty