Provider Demographics
NPI:1063016970
Name:MASHEIL ZAKARIYA DDS INC
Entity Type:Organization
Organization Name:MASHEIL ZAKARIYA DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MASHEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKARIYA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-787-7769
Mailing Address - Street 1:8100 BROADWAY STE A
Mailing Address - Street 2:
Mailing Address - City:LEMON GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:91945-2667
Mailing Address - Country:US
Mailing Address - Phone:619-697-9501
Mailing Address - Fax:619-697-9532
Practice Address - Street 1:8100 BROADWAY STE A
Practice Address - Street 2:
Practice Address - City:LEMON GROVE
Practice Address - State:CA
Practice Address - Zip Code:91945-2667
Practice Address - Country:US
Practice Address - Phone:619-697-9501
Practice Address - Fax:619-697-9532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental