Provider Demographics
NPI:1861958654
Name:YASMINE ZAENI DDS INC
Entity type:Organization
Organization Name:YASMINE ZAENI DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:YASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAENI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-917-9393
Mailing Address - Street 1:5167 CLAYTON RD STE D
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3163
Mailing Address - Country:US
Mailing Address - Phone:925-254-4777
Mailing Address - Fax:
Practice Address - Street 1:5167 CLAYTON RD STE D
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-3163
Practice Address - Country:US
Practice Address - Phone:925-917-9393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-16
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223D0004XDental ProvidersDentistDental AnesthesiologyGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty