Provider Demographics
NPI:1801454822
Name:ZEYNEP BARAKAT DMD, INC.
Entity type:Organization
Organization Name:ZEYNEP BARAKAT DMD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEYNEP
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAKAT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-331-7003
Mailing Address - Street 1:15452 CALDAS DE REYES
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4456
Mailing Address - Country:US
Mailing Address - Phone:617-331-7003
Mailing Address - Fax:
Practice Address - Street 1:12396 WORLD TRADE DR STE 209
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-3788
Practice Address - Country:US
Practice Address - Phone:858-451-2104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty