Provider Demographics
NPI:1689282782
Name:MOHAMMAD ALI ZAREH DDS INC
Entity Type:Organization
Organization Name:MOHAMMAD ALI ZAREH DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ZAREH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-526-3655
Mailing Address - Street 1:100 LAGUNA RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3633
Mailing Address - Country:US
Mailing Address - Phone:714-526-3655
Mailing Address - Fax:714-738-6495
Practice Address - Street 1:100 LAGUNA RD
Practice Address - Street 2:SUITE 210
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3633
Practice Address - Country:US
Practice Address - Phone:714-526-3655
Practice Address - Fax:714-738-6495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty