Provider Demographics
NPI:1942392485
Name:ZAREH, NEGEENDOKHT (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEGEENDOKHT
Middle Name:
Last Name:ZAREH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6926 BROCKTON AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3804
Mailing Address - Country:US
Mailing Address - Phone:951-784-7123
Mailing Address - Fax:951-784-7126
Practice Address - Street 1:6926 BROCKTON AVE STE 3
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3804
Practice Address - Country:US
Practice Address - Phone:951-784-7123
Practice Address - Fax:951-784-7126
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA450711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice