Provider Demographics
NPI:1174626113
Name:ZAW, ADA (DDS)
Entity type:Individual
Prefix:DR
First Name:ADA
Middle Name:
Last Name:ZAW
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 1:126 W EL NORTE PKWY
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-2502
Mailing Address - Country:US
Mailing Address - Phone:760-741-8986
Mailing Address - Fax:760-741-8987
Practice Address - Street 1:126 W EL NORTE PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-2502
Practice Address - Country:US
Practice Address - Phone:760-741-8986
Practice Address - Fax:760-741-8987
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice