Provider Demographics
NPI:1053501239
Name:ZADEH, ARASH (DDS)
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:
Last Name:ZADEH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 WESTLAKE CTR
Mailing Address - Street 2:SUITE 224
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-1441
Mailing Address - Country:US
Mailing Address - Phone:650-755-8650
Mailing Address - Fax:650-755-7084
Practice Address - Street 1:341 WESTLAKE CTR
Practice Address - Street 2:SUITE 224
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1441
Practice Address - Country:US
Practice Address - Phone:650-755-8650
Practice Address - Fax:650-755-7084
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA444231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice