Provider Demographics
NPI:1982375374
Name:SABA DENTISTRY PLLC
Entity type:Organization
Organization Name:SABA DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SABA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-356-3035
Mailing Address - Street 1:6707 OLD DOMINION DR STE 245
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4503
Mailing Address - Country:US
Mailing Address - Phone:703-356-3035
Mailing Address - Fax:703-356-0159
Practice Address - Street 1:6707 OLD DOMINION DR STE 245
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4503
Practice Address - Country:US
Practice Address - Phone:703-356-3035
Practice Address - Fax:703-356-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental