Provider Demographics
NPI:1114193406
Name:CUJAR, ANA MARIA
Entity Type:Individual
Prefix:DR
First Name:ANA MARIA
Middle Name:
Last Name:CUJAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5406 RIVERBOAT WAY
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-3316
Mailing Address - Country:US
Mailing Address - Phone:703-766-4490
Mailing Address - Fax:
Practice Address - Street 1:5406 RIVERBOAT WAY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032-3316
Practice Address - Country:US
Practice Address - Phone:703-766-4490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411978122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist