Provider Demographics
NPI:1700040367
Name:ZINA ALATHARI, DMD PC
Entity Type:Organization
Organization Name:ZINA ALATHARI, DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALATHARI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:703-444-5553
Mailing Address - Street 1:21155 WHITFIELD PL STE 106
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7277
Mailing Address - Country:US
Mailing Address - Phone:703-444-5553
Mailing Address - Fax:
Practice Address - Street 1:21155 WHITFIELD PL STE 106
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-7277
Practice Address - Country:US
Practice Address - Phone:703-444-5553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401007991261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center