Provider Demographics
NPI:1699008953
Name:NILOOFAR ZARKESH, DDS, MS, INC.
Entity Type:Organization
Organization Name:NILOOFAR ZARKESH, DDS, MS, INC.
Other - Org Name:PERIO4U, NILOOFAR ZARKESH, DDS, MS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PERIODONTIST/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NILOOFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARKESH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-998-8008
Mailing Address - Street 1:100 OCONNOR DR STE 10
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1638
Mailing Address - Country:US
Mailing Address - Phone:408-998-8008
Mailing Address - Fax:408-998-9009
Practice Address - Street 1:100 OCONNOR DR STE 10
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1638
Practice Address - Country:US
Practice Address - Phone:408-998-8008
Practice Address - Fax:408-998-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA436761223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty