Healthcare Provider Details

I. General information

NPI: 1053173294
Provider Name (Legal Business Name): ZIAD HAMID ALDABBI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7210 DAY CREEK BLVD
RANCHO CUCAMONGA CA
91739-7537
US

IV. Provider business mailing address

15628 FRENCH CRK
FRASER MI
48026-5216
US

V. Phone/Fax

Practice location:
  • Phone: 909-803-1111
  • Fax:
Mailing address:
  • Phone: 734-353-3611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.027993
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number109770
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: