Provider Demographics
NPI:1295887859
Name:FERDOWSI, ZARRIN (DDS)
Entity type:Individual
Prefix:
First Name:ZARRIN
Middle Name:
Last Name:FERDOWSI
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 1:267 ARLINGTON AVE
Mailing Address - Street 2:#2
Mailing Address - City:KENSINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:94707-1400
Mailing Address - Country:US
Mailing Address - Phone:510-525-2881
Mailing Address - Fax:510-525-2890
Practice Address - Street 1:267 ARLINGTON AVE
Practice Address - Street 2:#2
Practice Address - City:KENSINGTON
Practice Address - State:CA
Practice Address - Zip Code:94707-1400
Practice Address - Country:US
Practice Address - Phone:510-525-2881
Practice Address - Fax:510-525-2890
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA482611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice