Provider Demographics
NPI:1811915069
Name:ZAIDE, FLORENCE (DMD)
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:ZAIDE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3753 MISSION AVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-1473
Mailing Address - Country:US
Mailing Address - Phone:760-439-9200
Mailing Address - Fax:760-439-2564
Practice Address - Street 1:3753 MISSION AVE
Practice Address - Street 2:SUITE #116
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-1473
Practice Address - Country:US
Practice Address - Phone:760-439-9200
Practice Address - Fax:760-439-2564
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA432021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice