Provider Demographics
NPI:1295803914
Name:ZIRAKZADEH, SARAH F (DDS)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:F
Last Name:ZIRAKZADEH
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 1:28201 MARGAURITE PARKWAY
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692
Mailing Address - Country:US
Mailing Address - Phone:949-347-0302
Mailing Address - Fax:949-347-1921
Practice Address - Street 1:28201 MARGAURITE PARKWAY
Practice Address - Street 2:SUITE 10
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692
Practice Address - Country:US
Practice Address - Phone:949-347-0302
Practice Address - Fax:949-347-1921
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA460071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice