Provider Demographics
NPI:1811611940
Name:ZEKI ABDULAALI, DDS, INC
Entity type:Organization
Organization Name:ZEKI ABDULAALI, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BISCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-517-0621
Mailing Address - Street 1:2133 KINGS VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-3352
Mailing Address - Country:US
Mailing Address - Phone:619-517-0621
Mailing Address - Fax:
Practice Address - Street 1:10645 TIERRASANTA BLVD STE B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92124-2614
Practice Address - Country:US
Practice Address - Phone:858-215-1042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty