Healthcare Provider Details

I. General information

NPI: 1184110496
Provider Name (Legal Business Name): SMILE SAVER DENTAL GROUP, DRS. JAVAHERIAN AND ZAGHI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 04/24/2020
Certification Date: 04/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 E DEL AMO BLVD
CARSON CA
90746-3314
US

IV. Provider business mailing address

550 E DEL AMO BLVD
CARSON CA
90746-3314
US

V. Phone/Fax

Practice location:
  • Phone: 408-396-4530
  • Fax: 855-379-2444
Mailing address:
  • Phone: 310-515-5672
  • Fax: 310-352-6208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. FARSHAD ZAGHI
Title or Position: CEO
Credential: DMD, MSD
Phone: 408-396-4530