Provider Demographics
NPI:1164677605
Name:ZARRINNEGAR, MOHAMMAD M (DDS)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:M
Last Name:ZARRINNEGAR
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 1:860 E REMINGTON DR
Mailing Address - Street 2:#J
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2995
Mailing Address - Country:US
Mailing Address - Phone:408-736-6266
Mailing Address - Fax:408-738-1557
Practice Address - Street 1:860 E REMINGTON DR
Practice Address - Street 2:#J
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2995
Practice Address - Country:US
Practice Address - Phone:408-736-6266
Practice Address - Fax:408-738-1557
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45634122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist