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NPI Code Detail

MEDICARE: DR. NEGEENDOKHT ZAREH DMD

MEDICARE:  DR. NEGEENDOKHT  ZAREH  DMD
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
11223G0001XGeneral Practice Dentistry45071CA

General Provider Information

NPI Number : 1942392485
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEGEENDOKHT ZAREH DMD
Provider Business Mailing Address
First Line : 6926 BROCKTON AVE STE 3
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-3804
Country : US
Telephone Number : 951-784-7123
Fax Number : 951-784-7126
Provider Business Practice Location Address
First Line : 6926 BROCKTON AVE STE 3
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-3804
Country : US
Telephone Number : 951-784-7123
Fax Number : 951-784-7126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 10/05/2021

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Directions to “ DR. NEGEENDOKHT ZAREH DMD” Practice Location

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