Provider Demographics
NPI:1245528967
Name:TAMBOLI, ZENOBIA ADI (DDS)
Entity type:Individual
Prefix:DR
First Name:ZENOBIA
Middle Name:ADI
Last Name:TAMBOLI
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 1:675 S WATSON RD
Mailing Address - Street 2:#106
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-3447
Mailing Address - Country:US
Mailing Address - Phone:615-693-2914
Mailing Address - Fax:
Practice Address - Street 1:675 S WATSON RD
Practice Address - Street 2:#106
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-3447
Practice Address - Country:US
Practice Address - Phone:615-693-2914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-15
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ88521223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry