Provider Demographics
NPI:1649767815
Name:ZARRINJOOEE, ATOUSA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ATOUSA
Middle Name:
Last Name:ZARRINJOOEE
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 1:17265 WEDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1216
Mailing Address - Country:US
Mailing Address - Phone:650-996-9540
Mailing Address - Fax:
Practice Address - Street 1:1639 HOLLENBECK AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-5402
Practice Address - Country:US
Practice Address - Phone:408-740-0818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1023681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice