Provider Demographics
NPI:1659454783
Name:HAKIM, ZAHRA (DDS)
Entity type:Individual
Prefix:MRS
First Name:ZAHRA
Middle Name:
Last Name:HAKIM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 WELCH RD
Mailing Address - Street 2:104
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1516
Mailing Address - Country:US
Mailing Address - Phone:650-321-3220
Mailing Address - Fax:650-324-8668
Practice Address - Street 1:780 WELCH RD
Practice Address - Street 2:104
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1516
Practice Address - Country:US
Practice Address - Phone:650-321-3220
Practice Address - Fax:650-324-8668
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA445981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice