Provider Demographics
NPI:1639554298
Name:PUNJANI, ZAHRA (DMD)
Entity Type:Individual
Prefix:
First Name:ZAHRA
Middle Name:
Last Name:PUNJANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ASHFORD CENTER NORTH
Mailing Address - Street 2:SUITE #330
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338
Mailing Address - Country:US
Mailing Address - Phone:770-396-1188
Mailing Address - Fax:860-808-1540
Practice Address - Street 1:200 ASHFORD CENTER NORTH
Practice Address - Street 2:SUITE #330
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338
Practice Address - Country:US
Practice Address - Phone:770-396-1188
Practice Address - Fax:860-808-1540
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-24
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11738122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist