Provider Demographics
NPI:1982857546
Name:AURASTEH, PARNAZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:PARNAZ
Middle Name:
Last Name:AURASTEH
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 1:27822 MANOR HILL RD
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-6004
Mailing Address - Country:US
Mailing Address - Phone:949-389-0045
Mailing Address - Fax:
Practice Address - Street 1:14415 CHASE ST
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-3017
Practice Address - Country:US
Practice Address - Phone:949-322-7785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55672122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist