Healthcare Provider Details

I. General information

NPI: 1477307106
Provider Name (Legal Business Name): ANIQA ZAHEER DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13880 BRADDOCK RD STE 109
CENTREVILLE VA
20121-2460
US

IV. Provider business mailing address

13880 BRADDOCK RD STE 109
CENTREVILLE VA
20121-2460
US

V. Phone/Fax

Practice location:
  • Phone: 703-830-9990
  • Fax: 703-830-5400
Mailing address:
  • Phone: 703-830-9990
  • Fax: 703-830-5400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TREINA SOLENBERGER
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-830-9990