Provider Demographics
NPI:1770804742
Name:PARSANGI DENTAL CORPORATION
Entity type:Organization
Organization Name:PARSANGI DENTAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEGAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSANGI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-653-2244
Mailing Address - Street 1:5321 UNIVERSITY DR STE A
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2942
Mailing Address - Country:US
Mailing Address - Phone:949-653-2244
Mailing Address - Fax:
Practice Address - Street 1:5321 UNIVERSITY DR STE A
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2942
Practice Address - Country:US
Practice Address - Phone:949-653-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43292122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty