Provider Demographics
NPI:1013971936
Name:COFIE, ZENAIDA MOOTSO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZENAIDA
Middle Name:MOOTSO
Last Name:COFIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:7926 EVESBORO DR
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-1485
Mailing Address - Country:US
Mailing Address - Phone:410-519-7694
Mailing Address - Fax:410-825-0619
Practice Address - Street 1:8601 LA SALLE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286
Practice Address - Country:US
Practice Address - Phone:410-825-1771
Practice Address - Fax:410-825-0619
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD116411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics