Healthcare Provider Details

I. General information

NPI: 1235326562
Provider Name (Legal Business Name): NAZLI ZAFARANCHI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 10/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 W REMINGTON DR STE 4A
SUNNYVALE CA
94087-2458
US

IV. Provider business mailing address

516 W REMINGTON DR STE 4A
SUNNYVALE CA
94087-2458
US

V. Phone/Fax

Practice location:
  • Phone: 408-530-0000
  • Fax: 408-530-0532
Mailing address:
  • Phone: 408-530-0000
  • Fax: 408-530-0532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number43675
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: