Provider Demographics
NPI:1689018483
Name:MALAKEH ZAHEDI DDS INC.
Entity Type:Organization
Organization Name:MALAKEH ZAHEDI DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FEREIDOON
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHANGIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-621-9177
Mailing Address - Street 1:722 E ARROW HWY
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2247
Mailing Address - Country:US
Mailing Address - Phone:909-621-9177
Mailing Address - Fax:909-621-1561
Practice Address - Street 1:722 E ARROW HWY
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2247
Practice Address - Country:US
Practice Address - Phone:909-621-9177
Practice Address - Fax:909-621-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52135122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty