Provider Demographics
NPI:1659112258
Name:ZAMAN, RAAFI (DMD)
Entity type:Individual
Prefix:
First Name:RAAFI
Middle Name:
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11965 PIONEERS WAY APT 2306
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-2874
Mailing Address - Country:US
Mailing Address - Phone:407-749-9103
Mailing Address - Fax:
Practice Address - Street 1:14019 NARCOOSSEE RD STE 135
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-7162
Practice Address - Country:US
Practice Address - Phone:407-630-9754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29029122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty