Provider Demographics
NPI:1013331008
Name:ZAUL, NAOMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:ZAUL
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 1:1791 OAK AVE
Mailing Address - Street 2:#C
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-1073
Mailing Address - Country:US
Mailing Address - Phone:530-756-7516
Mailing Address - Fax:530-756-0727
Practice Address - Street 1:1791 OAK AVE
Practice Address - Street 2:#C
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-1073
Practice Address - Country:US
Practice Address - Phone:530-756-7516
Practice Address - Fax:530-756-0727
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA621971223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry