Provider Demographics
NPI:1821301003
Name:ZIA, ASMA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASMA
Middle Name:
Last Name:ZIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 GREENSBORO DR STE 1002
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3857
Mailing Address - Country:US
Mailing Address - Phone:703-734-0515
Mailing Address - Fax:703-734-5751
Practice Address - Street 1:8200 GREENSBORO DR STE 1002
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3857
Practice Address - Country:US
Practice Address - Phone:703-734-0515
Practice Address - Fax:703-734-5751
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014140131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice