Provider Demographics
NPI:1922468875
Name:ZAHRAN, VALENTINA (DDS, MD)
Entity Type:Individual
Prefix:
First Name:VALENTINA
Middle Name:
Last Name:ZAHRAN
Suffix:
Gender:F
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 CLIFFHANGER WAY
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-6420
Mailing Address - Country:US
Mailing Address - Phone:740-450-2500
Mailing Address - Fax:
Practice Address - Street 1:3515 CLIFFHANGER WAY
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-6420
Practice Address - Country:US
Practice Address - Phone:740-450-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0267241223S0112X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery