Provider Demographics
NPI:1992905590
Name:ZADEH, PEARL (DDS)
Entity type:Individual
Prefix:DR
First Name:PEARL
Middle Name:
Last Name:ZADEH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:PEARL
Other - Middle Name:
Other - Last Name:HOSSEINZADEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6325 TOPANGA CANYON BLVD SUITE 311
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367
Mailing Address - Country:US
Mailing Address - Phone:818-716-6722
Mailing Address - Fax:818-716-6950
Practice Address - Street 1:6325 TOPANGA CANYON BLVD SUITE 311
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367
Practice Address - Country:US
Practice Address - Phone:818-716-6722
Practice Address - Fax:818-716-6950
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55935122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist