Provider Demographics
NPI:1205084944
Name:AARON, ZINA (DMD)
Entity type:Individual
Prefix:DR
First Name:ZINA
Middle Name:
Last Name:AARON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 CARROLL CT
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-5010
Mailing Address - Country:US
Mailing Address - Phone:347-610-2929
Mailing Address - Fax:
Practice Address - Street 1:1004 CARROLL CT
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-5010
Practice Address - Country:US
Practice Address - Phone:347-610-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-07
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05532911223G0001X
GA0135641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice