Provider Demographics
NPI:1508436130
Name:ZRIK, NIBAL JAMAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:NIBAL
Middle Name:JAMAL
Last Name:ZRIK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44057 RISING SUN TER
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-4883
Mailing Address - Country:US
Mailing Address - Phone:703-505-8382
Mailing Address - Fax:
Practice Address - Street 1:44057 RISING SUN TER
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-4883
Practice Address - Country:US
Practice Address - Phone:703-505-8382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-27
Last Update Date:2021-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002047471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice