MEDICARE: ZAKI RAZVI 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	122300000X	Dentist	34442	TX

General Provider Information

NPI Number	:	1558841767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAKI RAZVI DDS

Provider Business Mailing Address
First Line	:	3413 DOWLAND DR
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2795
Country	:	US
Telephone Number	:	469-422-1341
Fax Number	:

Provider Business Practice Location Address
First Line	:	5851 LONG PRAIRIE RD STE 101
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-5636
Country	:	US
Telephone Number	:	972-539-7252
Fax Number	:

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

Provider Enumeration Date	:	08/16/2018
Last Update Date	:	08/16/2018

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Directions to “ ZAKI RAZVI DDS” Practice Location

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