Individual
PARNIAN PAYMOZD YAZDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
22706 ASPAN ST, LAKE FOREST, CA 92630-1603
(949) 716-7000
Mailing address
5309 18TH AVE FL 2, BROOKLYN, NY 11204-1523
(949) 542-0806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
102118
CA
1223P0221X
Pediatric Dentistry
Primary
06127001
NY
Other
Enumeration date
12/26/2017
Last updated
04/14/2021
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