Provider Demographics
NPI:1013069244
Name:ZENIAN-MCOMBER, NATHALIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATHALIE
Middle Name:
Last Name:ZENIAN-MCOMBER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NATHALIE
Other - Middle Name:
Other - Last Name:ZENIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:87 AMBASSADOR DR
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2292
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:702 CANDLEWOOD COMMONS
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2174
Practice Address - Country:US
Practice Address - Phone:732-901-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI022684011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice