Provider Demographics
NPI:1023262516
Name:PARSI, SANAZ
Entity type:Individual
Prefix:DR
First Name:SANAZ
Middle Name:
Last Name:PARSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11734 WILSHIRE BLVD APT C411
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6484
Mailing Address - Country:US
Mailing Address - Phone:310-926-6480
Mailing Address - Fax:
Practice Address - Street 1:11734 WILSHIRE BLVD APT C411
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6484
Practice Address - Country:US
Practice Address - Phone:310-926-6480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57518122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist