Healthcare Provider Details

I. General information

NPI: 1861958654
Provider Name (Legal Business Name): YASMINE ZAENI DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2019
Last Update Date: 04/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5167 CLAYTON RD STE D
CONCORD CA
94521-3163
US

IV. Provider business mailing address

5167 CLAYTON RD STE D
CONCORD CA
94521-3163
US

V. Phone/Fax

Practice location:
  • Phone: 925-917-9393
  • Fax:
Mailing address:
  • Phone: 925-254-4777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. YASMINE ZAENI
Title or Position: CEO
Credential: DDS
Phone: 925-917-9393