Healthcare Provider Details
I. General information
NPI: 1376724963
Provider Name (Legal Business Name): ANH N ZIRNSTEIN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/25/2007
Last Update Date: 11/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9183 FUREY RD
LORTON VA
22079-2967
US
IV. Provider business mailing address
9183 FUREY RD
LORTON VA
22079-2967
US
V. Phone/Fax
- Phone: 703-646-5731
- Fax:
- Phone: 703-646-5731
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 0401411923 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: