MEDICARE: DR. ZYNAB LAILA RAZAI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DE60840887	WA
2	1223G0001X	General Practice Dentistry	28095	TX
3	122300000X	Dentist	DE60840887	WA

General Provider Information

NPI Number	:	1043575038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZYNAB LAILA RAZAI DDS

Provider Business Mailing Address
First Line	:	PO BOX 34703
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-1703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3233 WURZBACH RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-4002
Country	:	US
Telephone Number	:	210-680-6325
Fax Number	:	210-680-4957

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2012
Last Update Date	:	03/27/2025

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