Provider Demographics
NPI:1144419334
Name:ANWAR ZAKI, NASSER DDS INC
Entity Type:Organization
Organization Name:ANWAR ZAKI, NASSER DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANWAR
Authorized Official - Middle Name:Z
Authorized Official - Last Name:NASSER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-371-0022
Mailing Address - Street 1:8990 SIERRA AVE
Mailing Address - Street 2:SUITE #F
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335
Mailing Address - Country:US
Mailing Address - Phone:909-371-0022
Mailing Address - Fax:
Practice Address - Street 1:8990 SIERRA AVE
Practice Address - Street 2:SUITE #F
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335
Practice Address - Country:US
Practice Address - Phone:909-371-0022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45935122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty