Provider Demographics
NPI:1013745447
Name:F.M. BARDI DDS APC
Entity type:Organization
Organization Name:F.M. BARDI DDS APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HAREEM
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-254-8656
Mailing Address - Street 1:3663 TORRANCE BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-7814
Mailing Address - Country:US
Mailing Address - Phone:310-791-0666
Mailing Address - Fax:310-791-7066
Practice Address - Street 1:3663 TORRANCE BLVD STE 3
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-7814
Practice Address - Country:US
Practice Address - Phone:310-791-0666
Practice Address - Fax:310-791-7066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty