Provider Demographics
NPI:1295585800
Name:ZAHRA H. EZZY D.D.S. INC
Entity type:Organization
Organization Name:ZAHRA H. EZZY D.D.S. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:HANIEH
Authorized Official - Last Name:EZZY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-730-5600
Mailing Address - Street 1:13422 NEWPORT AVE STE N
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3746
Mailing Address - Country:US
Mailing Address - Phone:714-730-5600
Mailing Address - Fax:
Practice Address - Street 1:13422 NEWPORT AVE STE N
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3746
Practice Address - Country:US
Practice Address - Phone:714-730-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental