Provider Demographics
NPI:1164017737
Name:SUMERA ZEESHAN DDS INC
Entity Type:Organization
Organization Name:SUMERA ZEESHAN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUMERA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEESHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-705-3426
Mailing Address - Street 1:3475 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:LOOMIS
Mailing Address - State:CA
Mailing Address - Zip Code:95650-9583
Mailing Address - Country:US
Mailing Address - Phone:916-652-5424
Mailing Address - Fax:
Practice Address - Street 1:3475 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:LOOMIS
Practice Address - State:CA
Practice Address - Zip Code:95650-9583
Practice Address - Country:US
Practice Address - Phone:916-652-5424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental