Provider Demographics
NPI:1205343654
Name:ASKARI, NINOOSH (DDS)
Entity type:Individual
Prefix:
First Name:NINOOSH
Middle Name:
Last Name:ASKARI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 W RIVERSIDE DR STE 501
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4396
Mailing Address - Country:US
Mailing Address - Phone:818-351-7551
Mailing Address - Fax:
Practice Address - Street 1:3808 W RIVERSIDE DR STE 501
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4396
Practice Address - Country:US
Practice Address - Phone:818-351-7551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45352122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist