Provider Demographics
NPI:1164694998
Name:MARYAM ZAREI DDS PC
Entity Type:Organization
Organization Name:MARYAM ZAREI DDS PC
Other - Org Name:ATLEE STATION FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAREI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-559-3250
Mailing Address - Street 1:9097 ATLEE STATION RD STE 120
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2525
Mailing Address - Country:US
Mailing Address - Phone:804-559-3250
Mailing Address - Fax:804-559-3342
Practice Address - Street 1:9097 ATLEE STATION RD STE 120
Practice Address - Street 2:SUITE 120
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2525
Practice Address - Country:US
Practice Address - Phone:804-559-3250
Practice Address - Fax:804-559-3342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty