Provider Demographics
NPI:1124196647
Name:ALAMEH ZADEH, NAZANIN (DDS)
Entity Type:Individual
Prefix:
First Name:NAZANIN
Middle Name:
Last Name:ALAMEH ZADEH
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 1:24060 CAMINO DEL AVION STE 4B
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-4006
Mailing Address - Country:US
Mailing Address - Phone:858-349-9770
Mailing Address - Fax:
Practice Address - Street 1:24060 CAMINO DEL AVION STE 4B
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-4006
Practice Address - Country:US
Practice Address - Phone:858-349-9770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice