Healthcare Provider Details

I. General information

NPI: 1538081351
Provider Name (Legal Business Name): YASMIN KHALED ZAMEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 RILEY ST STE 1
FOLSOM CA
95630-3265
US

IV. Provider business mailing address

162 E MIDVILLAGE BLVD APT 2206
SANDY UT
84070-1369
US

V. Phone/Fax

Practice location:
  • Phone: 302-310-3146
  • Fax:
Mailing address:
  • Phone: 302-310-3146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14294512-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: