Provider Demographics
NPI:1720140007
Name:ZERIN, SAYEMA
Entity Type:Individual
Prefix:
First Name:SAYEMA
Middle Name:
Last Name:ZERIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 OAKLAND RD
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-3703
Mailing Address - Country:US
Mailing Address - Phone:678-407-4072
Mailing Address - Fax:
Practice Address - Street 1:965 OAKLAND RD
Practice Address - Street 2:SUITE 2D
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-3703
Practice Address - Country:US
Practice Address - Phone:678-407-4072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013462122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist