Provider Demographics
NPI:1851457329
Name:ZAREI, ZAVASH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZAVASH
Middle Name:
Last Name:ZAREI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 22ND AVE # 1
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1565
Mailing Address - Country:US
Mailing Address - Phone:319-354-2142
Mailing Address - Fax:
Practice Address - Street 1:850 22ND AVE # 1
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1565
Practice Address - Country:US
Practice Address - Phone:319-354-2142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA7332122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist