Provider Demographics
NPI:1891919775
Name:ZAFARNIA, CAMRAN SAIED (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAMRAN
Middle Name:SAIED
Last Name:ZAFARNIA
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 1:12819 120TH AVE NE
Mailing Address - Street 2:SUITE I
Mailing Address - City:KIKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034
Mailing Address - Country:US
Mailing Address - Phone:425-803-0400
Mailing Address - Fax:425-803-3368
Practice Address - Street 1:12819 120TH AVE NE
Practice Address - Street 2:SUITE I
Practice Address - City:KIKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034
Practice Address - Country:US
Practice Address - Phone:425-803-0400
Practice Address - Fax:425-803-3368
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000073841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice