Provider Demographics
NPI:1750412821
Name:ZAND, TARANEH (DDS)
Entity type:Individual
Prefix:DR
First Name:TARANEH
Middle Name:
Last Name:ZAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:TARANEH
Other - Middle Name:ZANDPOUR
Other - Last Name:KHAKZADEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:12973 HIGHLAND CROSSING DR
Mailing Address - Street 2:STE B
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-5890
Mailing Address - Country:US
Mailing Address - Phone:703-953-3307
Mailing Address - Fax:703-953-3308
Practice Address - Street 1:12973 HIGHLAND CROSSING DR
Practice Address - Street 2:STE B
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-5890
Practice Address - Country:US
Practice Address - Phone:703-953-3307
Practice Address - Fax:703-953-3308
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014135201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice