Provider Demographics
NPI:1518673474
Name:ZAYED, DINA
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:ZAYED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12170 NE 24TH ST APT 211
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1580
Mailing Address - Country:US
Mailing Address - Phone:310-803-2493
Mailing Address - Fax:
Practice Address - Street 1:12170 NE 24TH ST APT 211
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1580
Practice Address - Country:US
Practice Address - Phone:310-803-2493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE613121581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice