Individual
ZINAH SHAKIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8421 BROAD ST UNIT 909, MC LEAN, VA 22102-3758
(479) 530-6369
Mailing address
8421 BROAD ST UNIT 909, MC LEAN, VA 22102-3758
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419017
VA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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