Provider Demographics
NPI:1790394740
Name:ZAROU, OMRAN (DMD)
Entity type:Individual
Prefix:DR
First Name:OMRAN
Middle Name:
Last Name:ZAROU
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 EDINBROOK PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3735
Mailing Address - Country:US
Mailing Address - Phone:763-424-3555
Mailing Address - Fax:763-424-9605
Practice Address - Street 1:8500 EDINBROOK PKWY STE D
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3735
Practice Address - Country:US
Practice Address - Phone:763-424-3555
Practice Address - Fax:763-424-9605
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN25800122300000X
CA1113241223G0001X
MND146601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist