Individual
ZAIN FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2570 BARRETT PLACE DR, BALLWIN, MO 63021-7830
(503) 953-2123
Mailing address
2570 BARRETT PLACE DR, BALLWIN, MO 63021-7830
(503) 953-2123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019036117
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/22/2024
Last updated
08/06/2025
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