Dianatyazdi, Kourosh

Dianatyazdi, Kourosh is an individual health care provider with primary practice located at 77564 Country Club Dr Suite 350, Palm Desert CA 92211-0484. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is his primary health care specialty. Dianatyazdi, Kourosh can be contacted via phone (760) 772-7082.

Contact Information

Primary practice address

77564 Country Club Dr Suite 350 Palm Desert CA 92211-0484

Phone: (760) 772-7082

Fax: (760) 772-7085

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	50457	California
Dental Providers / Oral and Maxillofacial Surgery	1223S0112X	50457	California

Profile Details

NPI number	1033205026
LBN Legal business name	Dianatyazdi, Kourosh
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Oct 5th, 2006
Last updated	Apr 14th, 2016 - about 10 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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