# MIKE PIRBAZARI, DDS, PHD. INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIKE PIRBAZARI , DDS, PHD, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063844942
- **Legal business name:** MIKE PIRBAZARI , DDS, PHD, INC.
- **Authorized official:** MIKE PIRBAZARI D.D.S, PH.D (EMDODONTIST, OWNER)
- **Authorized official phone:** (310) 264-1711

## Contact information

- **Practice address:** 1807 WILSHIRE BLVD.,, SUITE A, SANTA MONICA, CA 90403
- **Practice address phone:** (310) 264-1711
- **Practice address fax:** (310) 453-6486
- **Mailing address:** 269 S. BEVERLY DR.,, SUITE 436, BEVERLY HILLS, CA 90212
- **Mailing address phone:** (310) 339-3836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 35447 | CA | Yes |

## Other

- **Enumeration date:** 08/02/2013
- **Last updated:** 08/02/2013