Provider Demographics
NPI:1366119844
Name:NARANY, NAZLY (DMD)
Entity type:Individual
Prefix:
First Name:NAZLY
Middle Name:
Last Name:NARANY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 LINCOLN WAY UNIT 203
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-5860
Mailing Address - Country:US
Mailing Address - Phone:703-203-5207
Mailing Address - Fax:
Practice Address - Street 1:1524 LINCOLN WAY UNIT 203
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-5860
Practice Address - Country:US
Practice Address - Phone:703-203-5207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17611122300000X
VA0401417650122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist