Individual
SUMRA ZAIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
848 COMMERCIAL ST NE, SALEM, OR 97301-1016
(503) 362-9151
Mailing address
21 FOSTER AVENUE, VALLEY STREAM, NY 11580-2957
(516) 279-8637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11274
OR
Other
Enumeration date
04/02/2019
Last updated
07/30/2020
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