Provider Demographics
NPI:1629247499
Name:ALI R. ZIGLARI, DDS, PC
Entity Type:Organization
Organization Name:ALI R. ZIGLARI, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:REZA
Authorized Official - Last Name:ZIGLARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-966-9643
Mailing Address - Street 1:141 CHEVY CHASE ST
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-6466
Mailing Address - Country:US
Mailing Address - Phone:301-717-5779
Mailing Address - Fax:202-966-1888
Practice Address - Street 1:5100 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 210
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4119
Practice Address - Country:US
Practice Address - Phone:202-966-9643
Practice Address - Fax:202-966-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10006741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty