Provider Demographics
NPI:1952864514
Name:ZENDAKI, MUAZZ (DDS)
Entity Type:Individual
Prefix:
First Name:MUAZZ
Middle Name:
Last Name:ZENDAKI
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 1:28432 MUNERA
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-1004
Mailing Address - Country:US
Mailing Address - Phone:949-394-4170
Mailing Address - Fax:
Practice Address - Street 1:9950 IRVINE CENTER DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4357
Practice Address - Country:US
Practice Address - Phone:877-237-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103412122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist