Provider Demographics
NPI:1003277609
Name:RABIA RAFIQ DDS & ASSOCIATES,PLLC
Entity Type:Organization
Organization Name:RABIA RAFIQ DDS & ASSOCIATES,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RABIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFIQ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-754-2220
Mailing Address - Street 1:11700 PLAZA AMERICA DR STE 140
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-4753
Mailing Address - Country:US
Mailing Address - Phone:571-222-4900
Mailing Address - Fax:
Practice Address - Street 1:7534 LIMESTONE DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-4005
Practice Address - Country:US
Practice Address - Phone:703-754-2220
Practice Address - Fax:703-754-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412074261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental