MEDICARE: DR. FARZIN ZABIHI D.D.S.

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	122300000X	Dentist	47341	CA

General Provider Information

NPI Number	:	1164569828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARZIN ZABIHI D.D.S.

Provider Business Mailing Address
First Line	:	4747 N. FIRST STREET
Second Line	:	SUITE #138
City	:	FRESNO
State	:	CA
Zip	:	93726-0589
Country	:	US
Telephone Number	:	559-222-1550
Fax Number	:	559-222-1318

Provider Business Practice Location Address
First Line	:	4747 N. FIRST STREET
Second Line	:	SUITE #138
City	:	FRESNO
State	:	CA
Zip	:	93726-0558
Country	:	US
Telephone Number	:	559-222-1550
Fax Number	:	559-222-1318

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	12/22/2011

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