Provider Demographics
NPI:1942343264
Name:ZARRINFAR, ALLEN ALI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:ALI
Last Name:ZARRINFAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ALI
Other - Middle Name:
Other - Last Name:ZARRINFAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:850 EAST MAIN STREET
Mailing Address - Street 2:D
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132
Mailing Address - Country:US
Mailing Address - Phone:540-751-2221
Mailing Address - Fax:540-751-2218
Practice Address - Street 1:850-D EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-3163
Practice Address - Country:US
Practice Address - Phone:540-751-2221
Practice Address - Fax:540-751-2218
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411107122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist