Provider Demographics
NPI:1710193826
Name:ARSHADNIA, SHAHRIAR SHAWN (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAHRIAR
Middle Name:SHAWN
Last Name:ARSHADNIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX 49329
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049
Mailing Address - Country:US
Mailing Address - Phone:818-833-0444
Mailing Address - Fax:818-833-7444
Practice Address - Street 1:13203 GLADSTONE AVE
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-3116
Practice Address - Country:US
Practice Address - Phone:818-833-0444
Practice Address - Fax:818-833-7444
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA505611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice