Provider Demographics
NPI:1528188059
Name:HOSSEINI, ZAHRA LOYNAB (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZAHRA
Middle Name:LOYNAB
Last Name:HOSSEINI
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 1:2370 E BIDWELL ST STE 120
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3892
Mailing Address - Country:US
Mailing Address - Phone:916-458-8005
Mailing Address - Fax:916-673-3109
Practice Address - Street 1:2370 E BIDWELL ST STE 120
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630
Practice Address - Country:US
Practice Address - Phone:916-458-8005
Practice Address - Fax:916-673-3109
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA462671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA46267OtherDENTAL LICENSE