Provider Demographics
NPI:1558508911
Name:AL-LABABIDI, ZUKAEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZUKAEY
Middle Name:
Last Name:AL-LABABIDI
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 1:927 MAPLE GROVE DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407
Mailing Address - Country:US
Mailing Address - Phone:540-786-0051
Mailing Address - Fax:540-786-0999
Practice Address - Street 1:927 MAPLE GROVE DR
Practice Address - Street 2:SUITE 111
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-6936
Practice Address - Country:US
Practice Address - Phone:540-786-0051
Practice Address - Fax:540-786-0999
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014122521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice