Provider Demographics
NPI:1790382216
Name:ZARRINJOOEE DENTAL CORPORATION
Entity Type:Organization
Organization Name:ZARRINJOOEE DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ATOUSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARRINJOOEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-996-9540
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 1:4055 EVERGREEN VILLAGE SQ STE 240
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95135-1750
Practice Address - Country:US
Practice Address - Phone:408-223-9118
Practice Address - Fax:408-223-9228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental