Provider Demographics
NPI:1669550125
Name:ZAERY, FARRAH (DDS)
Entity type:Individual
Prefix:DR
First Name:FARRAH
Middle Name:
Last Name:ZAERY
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 1:12848 S RENE ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062
Mailing Address - Country:US
Mailing Address - Phone:913-768-6191
Mailing Address - Fax:913-451-7323
Practice Address - Street 1:27725 SANTA MARGARITA PKWY STE 270
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6708
Practice Address - Country:US
Practice Address - Phone:949-951-0951
Practice Address - Fax:949-652-3445
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS67311223G0001X
CA533621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice