Farnoosh Lak, DMD, Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FARNOOSH LAK, DMD, DENTAL CORP

Practice address

520 La Gonda Way Ste 204
Danville, CA 94526-1741

Phone

(925) 837-6318

Fax

(925) 837-6318

NPI assigned

Nov 20, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Farnoosh Lak, DMDNPI 1033388038

Title

Owner Dentist

Phone

(925) 837-6318

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farnoosh Lak, D.M.D.

  • Dentist
  • Oakland, CA
  • NPI 1033388038
  NPD Authorized official
• Mark Richard Koenen, DDS

  • General Practice Dentistry
  • Danville, CA
  • NPI 1023111952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1316808272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LA GONDA WAY STE 204",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261741",
            "telephone_number": "925-837-6318",
            "fax_number": "925-837-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LA GONDA WAY STE 204",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261741",
            "telephone_number": "925-837-6318",
            "fax_number": "925-837-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARNOOSH LAK, DMD, DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "LAK",
        "authorized_official_first_name": "FARNOOSH",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "925-837-6318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Fago, FNP
• Nazi Falahat, PSYCHOLOGIST
• Kali Fama, M.S.
• Cynthia Renae Fandrich, D.C.
• Talissa Farfan
• Kian Farzaneh, DDS
• Kathryn Baz Fassero, NP
• Fabienne Louisa Fayani Ouapou-Lena
• Caroline Federighi
• Sean Adrian Feezell, DO

• All providers in Danville, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.