Provider Demographics
NPI:1669786281
Name:ZAMORA ROJAS, CARLA MILAGRITOS (DDS)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:MILAGRITOS
Last Name:ZAMORA ROJAS
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 1:4441 TANEY AVE
Mailing Address - Street 2:APT.204
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-6914
Mailing Address - Country:US
Mailing Address - Phone:646-346-3505
Mailing Address - Fax:
Practice Address - Street 1:3903 FAIR RIDGE DR
Practice Address - Street 2:SUITE 214
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2943
Practice Address - Country:US
Practice Address - Phone:703-877-0775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412957122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist