Provider Demographics
NPI:1497927222
Name:MARYAM ZAREI DDS PC
Entity Type:Organization
Organization Name:MARYAM ZAREI DDS PC
Other - Org Name:ATLEE STATION FAMILY DENTISTRTY
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:804-747-4200
Mailing Address - Street 1:5201 HICKORY PARK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-2623
Mailing Address - Country:US
Mailing Address - Phone:804-747-4200
Mailing Address - Fax:804-747-4900
Practice Address - Street 1:5201 HICKORY PARK DR
Practice Address - Street 2:SUITE B
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-2623
Practice Address - Country:US
Practice Address - Phone:804-747-4200
Practice Address - Fax:804-747-4900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARYAM ZAREI DDS PC
Parent Organization TIN:<UNAVAIL>
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