Provider Demographics
NPI:1184273518
Name:ASLAM DENTAL CORPORATION
Entity type:Organization
Organization Name:ASLAM DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERYAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-517-2297
Mailing Address - Street 1:3289 BARNES CIR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1703
Mailing Address - Country:US
Mailing Address - Phone:917-517-2297
Mailing Address - Fax:
Practice Address - Street 1:2999 WESTMINSTER AVE STE 108
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-5388
Practice Address - Country:US
Practice Address - Phone:917-517-2297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental