Healthcare Provider Details

I. General information

NPI: 1326751629
Provider Name (Legal Business Name): STERLING ENDO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2023
Last Update Date: 01/02/2023
Certification Date: 01/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21475 RIDGETOP CIR STE 230
STERLING VA
20166-8580
US

IV. Provider business mailing address

21475 RIDGETOP CIR STE 230
STERLING VA
20166-8580
US

V. Phone/Fax

Practice location:
  • Phone: 703-263-8965
  • Fax:
Mailing address:
  • Phone: 703-263-8965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: MAAN ZUAITAR
Title or Position: ENDODONTIST
Credential: DDS
Phone: 703-263-8965