Provider Demographics
NPI:1720671670
Name:ALSHRSTANE, ZEINAB (DDS)
Entity Type:Individual
Prefix:
First Name:ZEINAB
Middle Name:
Last Name:ALSHRSTANE
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 1:4822 XANTHIA ST APT 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3626
Mailing Address - Country:US
Mailing Address - Phone:480-258-9244
Mailing Address - Fax:
Practice Address - Street 1:5002 GATTIS SCHOOL RD STE 200
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-2028
Practice Address - Country:US
Practice Address - Phone:480-258-9244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX370011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice