Provider Demographics
NPI:1710401880
Name:ZAVERI, GRISHMA
Entity Type:Individual
Prefix:
First Name:GRISHMA
Middle Name:
Last Name:ZAVERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 SACRAMENTO ST APT 202
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3320
Mailing Address - Country:US
Mailing Address - Phone:415-521-6568
Mailing Address - Fax:
Practice Address - Street 1:2055 SACRAMENTO ST APT 202
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3320
Practice Address - Country:US
Practice Address - Phone:415-521-6568
Practice Address - Fax:415-521-6568
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1017441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice