Provider Demographics
NPI:1265517361
Name:LAMIN, TAYAR (DDS)
Entity type:Individual
Prefix:
First Name:TAYAR
Middle Name:
Last Name:LAMIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8317 PAINTER AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3067
Mailing Address - Country:US
Mailing Address - Phone:562-945-5239
Mailing Address - Fax:562-945-5259
Practice Address - Street 1:8317 PAINTER AVE STE 4
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3067
Practice Address - Country:US
Practice Address - Phone:562-945-5239
Practice Address - Fax:562-945-5259
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA504811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice