Provider Demographics
NPI:1083919617
Name:TANAZ ASKARI DDS INC
Entity type:Organization
Organization Name:TANAZ ASKARI DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TANNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-677-5900
Mailing Address - Street 1:178 S VICTORIA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-4367
Mailing Address - Country:US
Mailing Address - Phone:805-677-5900
Mailing Address - Fax:805-677-5903
Practice Address - Street 1:178 S VICTORIA AVE STE A
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-4367
Practice Address - Country:US
Practice Address - Phone:805-677-5900
Practice Address - Fax:805-677-5903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42271122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty