MEDICARE: DR. SARA AMINI-ZAND D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	13426	MD

General Provider Information

NPI Number	:	1316116320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA AMINI-ZAND D.D.S.

Provider Business Mailing Address
First Line	:	7825 TUCKERMAN LN
Second Line	:	SUITE 208
City	:	POTOMAC
State	:	MD
Zip	:	20854-3241
Country	:	US
Telephone Number	:	301-299-5010
Fax Number	:	301-299-5015

Provider Business Practice Location Address
First Line	:	7825 TUCKERMAN LN
Second Line	:	SUITE 208
City	:	POTOMAC
State	:	MD
Zip	:	20854-3241
Country	:	US
Telephone Number	:	301-299-5010
Fax Number	:	301-299-5015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2008
Last Update Date	:	12/24/2009

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