Provider Demographics
NPI:1720254600
Name:HELEN S TORABZADEH DDS INC
Entity Type:Organization
Organization Name:HELEN S TORABZADEH DDS INC
Other - Org Name:WISDOM DENTAL PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:SHOKRI
Authorized Official - Last Name:TORABZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-705-4025
Mailing Address - Street 1:18437 SATICOY ST
Mailing Address - Street 2:#3
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335
Mailing Address - Country:US
Mailing Address - Phone:818-705-4025
Mailing Address - Fax:818-705-4026
Practice Address - Street 1:18437 SATICOY ST
Practice Address - Street 2:#3
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335
Practice Address - Country:US
Practice Address - Phone:818-705-4025
Practice Address - Fax:818-705-4026
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELEN S TORABZADEH DDS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47329122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty