PARHAM A TABAR

SAN MATEO, CA
NPI1467089318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  106731)
Additional Taxonomies122300000X Dentist
(Licence: WA  DR61067002)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-23
Last Update Date2021-09-15
Business Address
PARHAM A TABAR DMD
1100 PARK PL STE 30
SAN MATEO, CA 94403-7106
Phone number: 650-627-8191
Mailing Address
PARHAM A TABAR DMD
1959 NE PACIFIC STREET HSB # B241
SEATTLE, WA 98195-0001
Phone number: 206-543-7496