Provider Demographics
NPI:1235581703
Name:SAREEN DENTISTRY DMD PLLC
Entity Type:Organization
Organization Name:SAREEN DENTISTRY DMD PLLC
Other - Org Name:UNITED DENTAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAREEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:703-361-2345
Mailing Address - Street 1:9940 SOWDER VILLAGE SQ
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-5464
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9940 SOWDER VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-5464
Practice Address - Country:US
Practice Address - Phone:703-361-2345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414483122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty