Provider Demographics
NPI:1588767669
Name:ZURMATI, FARID A (DDS PLLC)
Entity type:Individual
Prefix:MR
First Name:FARID
Middle Name:A
Last Name:ZURMATI
Suffix:
Gender:M
Credentials:DDS PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5519 TYLER DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315
Mailing Address - Country:US
Mailing Address - Phone:703-719-9210
Mailing Address - Fax:703-719-6330
Practice Address - Street 1:5960 KINGSTOWNE CENTER BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315
Practice Address - Country:US
Practice Address - Phone:703-719-9210
Practice Address - Fax:703-719-6330
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0401008980208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice