Provider Demographics
NPI:1184110496
Name:SMILE SAVER DENTAL GROUP, DRS. JAVAHERIAN AND ZAGHI
Entity type:Organization
Organization Name:SMILE SAVER DENTAL GROUP, DRS. JAVAHERIAN AND ZAGHI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MSD
Authorized Official - Phone:408-396-4530
Mailing Address - Street 1:550 E DEL AMO BLVD
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-3314
Mailing Address - Country:US
Mailing Address - Phone:310-515-5672
Mailing Address - Fax:310-352-6208
Practice Address - Street 1:550 E DEL AMO BLVD
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3314
Practice Address - Country:US
Practice Address - Phone:408-396-4530
Practice Address - Fax:855-379-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty