Provider Demographics
NPI:1013320480
Name:DAVID E. FARKAS, D.D.S., P.C.
Entity Type:Organization
Organization Name:DAVID E. FARKAS, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:FARKAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-767-6022
Mailing Address - Street 1:10932 RATNER ST
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-4036
Mailing Address - Country:US
Mailing Address - Phone:818-767-6022
Mailing Address - Fax:818-767-6196
Practice Address - Street 1:10932 RATNER ST
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-4036
Practice Address - Country:US
Practice Address - Phone:818-767-6022
Practice Address - Fax:818-767-6196
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C0658121
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19874261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1987401OtherDENTAL