Provider Demographics
NPI:1447277298
Name:ALATHARI, ZINA (DMD)
Entity type:Individual
Prefix:DR
First Name:ZINA
Middle Name:
Last Name:ALATHARI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21155 WHITFIELD PL
Mailing Address - Street 2:SUITE 106
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7281
Mailing Address - Country:US
Mailing Address - Phone:703-444-5553
Mailing Address - Fax:
Practice Address - Street 1:21155 WHITFIELD PL
Practice Address - Street 2:SUITE 106
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-7281
Practice Address - Country:US
Practice Address - Phone:703-444-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401007991122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA14426Medicare ID - Type UnspecifiedLOCATION ID