Provider Demographics
NPI:1801902796
Name:PEARLMAN, IRA LAWN (DDS)
Entity type:Individual
Prefix:DR
First Name:IRA
Middle Name:LAWN
Last Name:PEARLMAN
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 1:176 AUBURN CT
Mailing Address - Street 2:#2
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362
Mailing Address - Country:US
Mailing Address - Phone:805-374-8888
Mailing Address - Fax:805-371-6155
Practice Address - Street 1:176 AUBURN CT
Practice Address - Street 2:#2
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362
Practice Address - Country:US
Practice Address - Phone:805-374-8888
Practice Address - Fax:805-371-6155
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA243251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice