Provider Demographics
NPI:1275890824
Name:JUMA, ZAILEEN (DMD)
Entity Type:Individual
Prefix:MS
First Name:ZAILEEN
Middle Name:
Last Name:JUMA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7606 BRIGHT LAKE BEND LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4494
Mailing Address - Country:US
Mailing Address - Phone:832-876-6922
Mailing Address - Fax:
Practice Address - Street 1:7606 BRIGHT LAKE BEND LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4494
Practice Address - Country:US
Practice Address - Phone:832-876-6922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12230000X122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist