Provider Demographics
NPI:1548454440
Name:TURKZADEH, LYLA MALIHEH (DMD)
Entity type:Individual
Prefix:DR
First Name:LYLA
Middle Name:MALIHEH
Last Name:TURKZADEH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4450 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-2846
Mailing Address - Country:US
Mailing Address - Phone:925-798-2200
Mailing Address - Fax:925-798-4807
Practice Address - Street 1:4450 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-2846
Practice Address - Country:US
Practice Address - Phone:925-798-2200
Practice Address - Fax:925-798-4807
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47199122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB-47199OtherHEALTY FAMILY