Provider Demographics
NPI:1932331030
Name:ABRAHAM, ZUWENA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZUWENA
Middle Name:
Last Name:ABRAHAM
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 1:5850 CAMERON RUN TER
Mailing Address - Street 2:APT 522
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22303-1860
Mailing Address - Country:US
Mailing Address - Phone:214-725-9677
Mailing Address - Fax:
Practice Address - Street 1:5850 CAMERON RUN TER
Practice Address - Street 2:APT 522
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22303-1860
Practice Address - Country:US
Practice Address - Phone:214-725-9677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-23
Last Update Date:2009-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014126021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice