Provider Demographics
NPI:1578440046
Name:MAHBAN ZAREI, DDS, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:MAHBAN ZAREI, DDS, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MAHBAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAREI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:213-618-6874
Mailing Address - Street 1:5684 BAY ST APT 553
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-2415
Mailing Address - Country:US
Mailing Address - Phone:213-618-6874
Mailing Address - Fax:
Practice Address - Street 1:11155 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-2485
Practice Address - Country:US
Practice Address - Phone:213-618-6874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental