Provider Demographics
NPI:1831708007
Name:ZEINALI GELABI, SALAR
Entity type:Individual
Prefix:DR
First Name:SALAR
Middle Name:
Last Name:ZEINALI GELABI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12520 SARATOGA CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-3537
Mailing Address - Country:US
Mailing Address - Phone:408-364-6860
Mailing Address - Fax:
Practice Address - Street 1:12520 SARATOGA CREEK DR
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-3537
Practice Address - Country:US
Practice Address - Phone:408-364-6860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105054122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist