Provider Demographics
NPI:1447210422
Name:JOHNSON, ZARIFEH A (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZARIFEH
Middle Name:A
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ZARIFEH
Other - Middle Name:ARJOMAND
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1910 W ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-2706
Mailing Address - Country:US
Mailing Address - Phone:713-522-0062
Mailing Address - Fax:713-522-1443
Practice Address - Street 1:1910 W ALABAMA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-2706
Practice Address - Country:US
Practice Address - Phone:713-522-0062
Practice Address - Fax:713-522-1443
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice