Provider Demographics
NPI:1730875121
Name:ARIAN BAROOTY DENTAL CORPORATION
Entity type:Organization
Organization Name:ARIAN BAROOTY DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAROOTY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-793-8261
Mailing Address - Street 1:1016 S HOLT AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-2026
Mailing Address - Country:US
Mailing Address - Phone:818-793-8261
Mailing Address - Fax:
Practice Address - Street 1:1295 S LA BREA AVE STE 101
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-0972
Practice Address - Country:US
Practice Address - Phone:818-793-8261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty