Provider Demographics
NPI:1841027315
Name:ASHARIMIAMI, TARANEH (DDS)
Entity type:Individual
Prefix:
First Name:TARANEH
Middle Name:
Last Name:ASHARIMIAMI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5985 AVENIDA ANTIGUA
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3512
Mailing Address - Country:US
Mailing Address - Phone:425-765-6987
Mailing Address - Fax:
Practice Address - Street 1:5731 E SANTA ANA CANYON RD STE A
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-3234
Practice Address - Country:US
Practice Address - Phone:714-998-2956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1107991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice