Organization
ZOOGY DENTAL COMPANY PLLC
Active
Other names
Heritage Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAN PERVAIZ DDS (OWNER)
(703) 349-0099
Entity
Organization
Contact information
Practice address
7120 HERITAGE VILLAGE PLZ STE 101, GAINESVILLE, VA 20155-3068
(703) 349-0099
Mailing address
7120 HERITAGE VILLAGE PLZ STE 101, GAINESVILLE, VA 20155-3068
(703) 349-0099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
01/03/2022
Last updated
07/06/2023
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