Provider Demographics
NPI:1720274582
Name:DIANA ZSCHASCHEL, DDS
Entity Type:Organization
Organization Name:DIANA ZSCHASCHEL, DDS
Other - Org Name:LA DENTAL DAY SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DDS/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZSCHASCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-854-6102
Mailing Address - Street 1:8920 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 610
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2007
Mailing Address - Country:US
Mailing Address - Phone:310-854-6102
Mailing Address - Fax:310-854-6161
Practice Address - Street 1:8920 WILSHIRE BLVD
Practice Address - Street 2:SUITE 610
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2007
Practice Address - Country:US
Practice Address - Phone:310-854-6102
Practice Address - Fax:310-854-6161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty