| Anita Kianimanesh D.m.d, Inc | |
|
5205 Leesburg Pike Suite 1406 Falls Church VA 22041-3802 | |
| (703) 998-4244 | |
| (703) 998-4246 |
| Full Name | Anita Kianimanesh D.m.d, Inc |
|---|---|
| Speciality | Dentist |
| Location | 5205 Leesburg Pike, Falls Church, Virginia |
| Authorized Official Name and Position | Anita Kianimanesh (OWNER) |
| Authorized Official Contact | 7039984244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Kianimanesh D.m.d, Inc 5205 Leesburg Pike Ste 1406 Falls Church VA 22041-3894 Ph: (703) 998-4244 | Anita Kianimanesh D.m.d, Inc 5205 Leesburg Pike Suite 1406 Falls Church VA 22041-3802 Ph: (703) 998-4244 |
| NPI Number | 1184063547 |
|---|---|
| Provider Enumeration Date | 06/19/2013 |
| Last Update Date | 06/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184063547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401413468 (Virginia) | Primary |
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