Provider Demographics
NPI:1063624203
Name:ZAENI, YASMINE (DDS)
Entity type:Individual
Prefix:DR
First Name:YASMINE
Middle Name:
Last Name:ZAENI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:925-917-9393
Mailing Address - Fax:925-800-7525
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:925-254-4777
Practice Address - Fax:925-800-7525
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA516771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice