| Artiste Dentistry Llc | |
|
46090 Lake Center Plz Suite 107 Sterling VA 20165-5876 | |
| (703) 434-3286 | |
| Not Available |
| Full Name | Artiste Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 46090 Lake Center Plz, Sterling, Virginia |
| Authorized Official Name and Position | Tara Moshiri (OWNER) |
| Authorized Official Contact | 7034343286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Artiste Dentistry Llc 46090 Lake Center Plz Suite 107 Sterling VA 20165-5876 Ph: (703) 434-3286 | Artiste Dentistry Llc 46090 Lake Center Plz Suite 107 Sterling VA 20165-5876 Ph: (703) 434-3286 |
| NPI Number | 1467720078 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 12/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467720078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401410136 (Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | 0401410136 (Virginia) | Secondary |
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