Provider Demographics
NPI:1740023837
Name:ZARFESHANFARD, LAILA (DDS)
Entity type:Individual
Prefix:DR
First Name:LAILA
Middle Name:
Last Name:ZARFESHANFARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LAILA
Other - Middle Name:
Other - Last Name:ZARFESHANFARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAILA ZARFESHANFARD
Mailing Address - Street 1:9807 JUNIPER HILL RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5463
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9045 SHADY GROVE CT
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1301
Practice Address - Country:US
Practice Address - Phone:301-990-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18072122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist