Provider Demographics
NPI:1316116320
Name:AMINI-ZAND, SARA (DDS)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:AMINI-ZAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7825 TUCKERMAN LN
Mailing Address - Street 2:SUITE 208
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3241
Mailing Address - Country:US
Mailing Address - Phone:301-299-5010
Mailing Address - Fax:301-299-5015
Practice Address - Street 1:7825 TUCKERMAN LN
Practice Address - Street 2:SUITE 208
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3241
Practice Address - Country:US
Practice Address - Phone:301-299-5010
Practice Address - Fax:301-299-5015
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-23
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13426122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist