Provider Demographics
NPI:1043575038
Name:RAZAI, ZYNAB LAILA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZYNAB
Middle Name:LAILA
Last Name:RAZAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19414 STRAUSS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-2027
Mailing Address - Country:US
Mailing Address - Phone:360-510-1492
Mailing Address - Fax:
Practice Address - Street 1:3233 WURZBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-4002
Practice Address - Country:US
Practice Address - Phone:210-680-6325
Practice Address - Fax:210-680-4957
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX280951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice