Provider Demographics
NPI:1922027598
Name:ZIADIE, ELIZABETH T (DDS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:T
Last Name:ZIADIE
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 1:14451 PEDIGREE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33330-2107
Mailing Address - Country:US
Mailing Address - Phone:954-680-9364
Mailing Address - Fax:
Practice Address - Street 1:9720 STIRLING RD STE 211
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8015
Practice Address - Country:US
Practice Address - Phone:954-599-8857
Practice Address - Fax:954-431-5740
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN12437122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist