Provider Demographics
NPI:1336200963
Name:SEMRIEN, ZIAD M (DDS)
Entity Type:Individual
Prefix:
First Name:ZIAD
Middle Name:M
Last Name:SEMRIEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33610 MAPLETON AVE APT 222
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-4480
Mailing Address - Country:US
Mailing Address - Phone:909-904-5435
Mailing Address - Fax:
Practice Address - Street 1:33610 MAPLETON AVE APT 222
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-4480
Practice Address - Country:US
Practice Address - Phone:909-904-5435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54202122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist