Provider Demographics
NPI:1336330927
Name:ZAKARIA, SAIFULLAH (DDS)
Entity Type:Individual
Prefix:
First Name:SAIFULLAH
Middle Name:
Last Name:ZAKARIA
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 1:20427 POPLAR WAY
Mailing Address - Street 2:UNIT B
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7840
Mailing Address - Country:US
Mailing Address - Phone:206-364-7680
Mailing Address - Fax:
Practice Address - Street 1:20036 19TH AVE NE
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-1211
Practice Address - Country:US
Practice Address - Phone:206-364-7680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA5507122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5776604Medicaid