Parvaneh Patty Afsarzadeh, DDS
Individual provider Active NPI General Practice Dentistry · Indio, CA
NPI 1912100975 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912100975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 25318 (CA)
- Practice address
- 81557 Doctor Carreon Blvd
#3
Indio, CA 92201-5517 - Phone
- (760) 775-5284
- Fax
- (760) 775-0565
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25318 | CA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25318 | CA | Yes |
Addresses
Primary practice location
81557 Doctor Carreon Blvd
#3
Indio, CA 92201-5517
Mailing address
PO Box 17179
Irvine, CA 92623-7179
Phone (949) 567-3176
Other providers in Indio, CA
- Kaela Adams
- Freda Ann Addeo
- Michael O Adjei
- Advanced Sleep Medicine Services, Inc.
- Rownak Afroz
- Alhondra Jazmin Aguado
- Narcedalia Aguilar Ramirez
- Anahi Aguilar Ruiz
- Brenda Jasmine Aguilar-Gomez
- Elizabeth Marie Aguilar
All providers in Indio, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.