Provider Demographics
NPI:1417242835
Name:ZAKI-SABET, ANGIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANGIE
Middle Name:
Last Name:ZAKI-SABET
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 1:246 WESTMINSTER PL
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-1116
Mailing Address - Country:US
Mailing Address - Phone:201-921-9903
Mailing Address - Fax:
Practice Address - Street 1:246 WESTMINSTER PL
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-1116
Practice Address - Country:US
Practice Address - Phone:201-921-9903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ39122300000X
NY39122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist