Provider Demographics
NPI:1467534362
Name:STAANA, ZENAIDA PILAR LIRAG (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZENAIDA PILAR
Middle Name:LIRAG
Last Name:STAANA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ZENAIDA PILAR
Other - Middle Name:ROMACK
Other - Last Name:LIRAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2700 RANDALL WAY
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4425
Mailing Address - Country:US
Mailing Address - Phone:510-366-4807
Mailing Address - Fax:
Practice Address - Street 1:35201 NEWARK BLVD STE E
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-1229
Practice Address - Country:US
Practice Address - Phone:510-792-6396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA547071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice