Provider Demographics
NPI:1710684121
Name:BALDI, ZAINAB (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZAINAB
Middle Name:
Last Name:BALDI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22053 CHELSY PAIGE SQ
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-7105
Mailing Address - Country:US
Mailing Address - Phone:346-304-1738
Mailing Address - Fax:
Practice Address - Street 1:43930 FARMWELL HUNT PLZ # 3136
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5896
Practice Address - Country:US
Practice Address - Phone:703-858-0045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014180071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice