Provider Demographics
NPI:1558841767
Name:RAZVI, ZAKI (DDS)
Entity type:Individual
Prefix:
First Name:ZAKI
Middle Name:
Last Name:RAZVI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3413 DOWLAND DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-2795
Mailing Address - Country:US
Mailing Address - Phone:469-422-1341
Mailing Address - Fax:
Practice Address - Street 1:5851 LONG PRAIRIE RD STE 101
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-5636
Practice Address - Country:US
Practice Address - Phone:972-539-7252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34442122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist