Provider Demographics
NPI:1265783088
Name:P.A. DABIR DDS & Z.E.S. CUISIA
Entity type:Organization
Organization Name:P.A. DABIR DDS & Z.E.S. CUISIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRIYADARSHAN
Authorized Official - Middle Name:ASHOK
Authorized Official - Last Name:DABIR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-633-1131
Mailing Address - Street 1:3257 CAMINO DE LOS COCHES
Mailing Address - Street 2:SUITE 304
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-8974
Mailing Address - Country:US
Mailing Address - Phone:760-633-1131
Mailing Address - Fax:760-633-1551
Practice Address - Street 1:3257 CAMINO DE LOS COCHES
Practice Address - Street 2:SUITE 304
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-8974
Practice Address - Country:US
Practice Address - Phone:760-633-1131
Practice Address - Fax:760-633-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497391223P0221X
CA497401223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty