Provider Demographics
NPI:1063763100
Name:QURESHI, ZOHAIR MAZHAR (DDS MS)
Entity type:Individual
Prefix:DR
First Name:ZOHAIR
Middle Name:MAZHAR
Last Name:QURESHI
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BRITTANY LN
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-4301
Mailing Address - Country:US
Mailing Address - Phone:631-885-4363
Mailing Address - Fax:
Practice Address - Street 1:770 FETZNER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-1848
Practice Address - Country:US
Practice Address - Phone:585-789-1659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY500564081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics