Provider Demographics
NPI:1841597473
Name:MANOEL, ZARMINE (DDS)
Entity Type:Individual
Prefix:
First Name:ZARMINE
Middle Name:
Last Name:MANOEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2326 1/2 MONTROSE AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-2221
Mailing Address - Country:US
Mailing Address - Phone:818-441-4598
Mailing Address - Fax:
Practice Address - Street 1:3980 GLENFELIZ BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1459
Practice Address - Country:US
Practice Address - Phone:818-441-4598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-16
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60105122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist