Provider Demographics
NPI:1548461684
Name:AMIR H. ASKARI,DDS.INC.
Entity type:Organization
Organization Name:AMIR H. ASKARI,DDS.INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:H
Authorized Official - Last Name:ASKARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-248-6828
Mailing Address - Street 1:32784 OLDWOMAN SPRINGS RD.
Mailing Address - Street 2:D
Mailing Address - City:LUCERNE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92356
Mailing Address - Country:US
Mailing Address - Phone:760-248-6828
Mailing Address - Fax:760-248-6700
Practice Address - Street 1:32784 OLDWOMAN SPRINGS RD.
Practice Address - Street 2:D
Practice Address - City:LUCERNE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92356
Practice Address - Country:US
Practice Address - Phone:760-248-6828
Practice Address - Fax:760-248-6700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty