Provider Demographics
NPI:1629213368
Name:ZOMORRODIAN, SAHAND (BS, MA,MS, DMD)
Entity Type:Individual
Prefix:DR
First Name:SAHAND
Middle Name:
Last Name:ZOMORRODIAN
Suffix:
Gender:M
Credentials:BS, MA,MS, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 E WOODFIELD RD STE 510
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5130
Mailing Address - Country:US
Mailing Address - Phone:847-437-3533
Mailing Address - Fax:
Practice Address - Street 1:1701 E WOODFIELD RD STE 510
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5130
Practice Address - Country:US
Practice Address - Phone:847-437-3533
Practice Address - Fax:847-473-0310
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.027767122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist