Provider Demographics
NPI:1326751629
Name:STERLING ENDO PLLC
Entity Type:Organization
Organization Name:STERLING ENDO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:MAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUAITAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-263-8965
Mailing Address - Street 1:21475 RIDGETOP CIR STE 230
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-8580
Mailing Address - Country:US
Mailing Address - Phone:703-263-8965
Mailing Address - Fax:
Practice Address - Street 1:21475 RIDGETOP CIR STE 230
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-8580
Practice Address - Country:US
Practice Address - Phone:703-263-8965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty