Provider Demographics
NPI:1255412326
Name:ZAHAROPOULOS, KATHERINE (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:ZAHAROPOULOS
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 1:440 N MOUNTAIN AVE
Mailing Address - Street 2:SUITE #101
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5183
Mailing Address - Country:US
Mailing Address - Phone:909-982-8891
Mailing Address - Fax:909-931-3284
Practice Address - Street 1:440 N MOUNTAIN AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5183
Practice Address - Country:US
Practice Address - Phone:909-982-8891
Practice Address - Fax:909-931-3284
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA334351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice