Provider Demographics
NPI:1154849735
Name:HEDAYATI ZAFARGHANDI, OVEYS (DDS)
Entity Type:Individual
Prefix:DR
First Name:OVEYS
Middle Name:
Last Name:HEDAYATI ZAFARGHANDI
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 1:1619 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4963
Mailing Address - Country:US
Mailing Address - Phone:425-827-2003
Mailing Address - Fax:425-828-3873
Practice Address - Street 1:1619 MARKET ST
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4963
Practice Address - Country:US
Practice Address - Phone:425-827-2003
Practice Address - Fax:425-828-3873
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60734395122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist