Provider Demographics
NPI:1396022141
Name:ZADEH, NEDA H (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEDA
Middle Name:H
Last Name:ZADEH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 N SANTA CRUZ AVE
Mailing Address - Street 2:STE B1
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-4347
Mailing Address - Country:US
Mailing Address - Phone:408-354-0500
Mailing Address - Fax:408-354-9020
Practice Address - Street 1:540 N SANTA CRUZ AVE
Practice Address - Street 2:STE B1
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-4347
Practice Address - Country:US
Practice Address - Phone:408-354-0500
Practice Address - Fax:408-354-9020
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA588011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice