| Cosmetic And Family Dentistry | |
|
13515 Dulles Technology Dr Herndon VA 20171-3413 | |
| (703) 793-3030 | |
| (703) 793-3022 |
| Full Name | Cosmetic And Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13515 Dulles Technology Dr, Herndon, Virginia |
| Authorized Official Name and Position | Nazila Ganji (PRESIDENT) |
| Authorized Official Contact | 7037933030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic And Family Dentistry 13515 Dulles Technology Dr Herndon VA 20171-3413 Ph: (703) 793-3030 | Cosmetic And Family Dentistry 13515 Dulles Technology Dr Herndon VA 20171-3413 Ph: (703) 793-3030 |
| NPI Number | 1093881815 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093881815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008823 (Virginia) | Primary |
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