Provider Demographics
NPI:1023801974
Name:SHIR & PISHBIN DENTAL CORPORATION
Entity type:Organization
Organization Name:SHIR & PISHBIN DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLMAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-389-6349
Mailing Address - Street 1:PO BOX 4204
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92616-4204
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27281 LA PAZ RD STE R
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-3605
Practice Address - Country:US
Practice Address - Phone:949-273-0110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty