Provider Demographics
NPI:1447923826
Name:ZOMORODIAN, FARIMAH (DDS)
Entity type:Individual
Prefix:DR
First Name:FARIMAH
Middle Name:
Last Name:ZOMORODIAN
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 1:29 WINDSOR RDG
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6858
Mailing Address - Country:US
Mailing Address - Phone:214-772-4544
Mailing Address - Fax:
Practice Address - Street 1:2110 ELDORADO PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7508
Practice Address - Country:US
Practice Address - Phone:469-907-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37705122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist