Provider Demographics
NPI:1275141384
Name:MOHAMMAD ALI ZAREH DDS INC
Entity Type:Organization
Organization Name:MOHAMMAD ALI ZAREH DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ZAREH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-807-6564
Mailing Address - Street 1:1990 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-8411
Mailing Address - Country:US
Mailing Address - Phone:310-807-6564
Mailing Address - Fax:
Practice Address - Street 1:1990 WESTWOOD BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-8411
Practice Address - Country:US
Practice Address - Phone:310-807-6564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty