Provider Demographics
NPI:1740860048
Name:TALMOOD, BRANDON FARSHID (DDS)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:FARSHID
Last Name:TALMOOD
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 1:1441 BREA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3507
Mailing Address - Country:US
Mailing Address - Phone:714-401-2453
Mailing Address - Fax:
Practice Address - Street 1:1441 BREA BLVD STE A
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3507
Practice Address - Country:US
Practice Address - Phone:714-401-2453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-11
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107095122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program