| D3ntist | |
|
44365 Premier Plz Suite #230 Ashburn VA 20147-5057 | |
| (703) 726-4444 | |
| (703) 935-8018 |
| Full Name | D3ntist |
|---|---|
| Speciality | Dentist |
| Location | 44365 Premier Plz, Ashburn, Virginia |
| Authorized Official Name and Position | Pouran Nikkhah (CEO) |
| Authorized Official Contact | 7034305700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D3ntist 44365 Premier Plz Suite #230 Ashburn VA 20147-5057 Ph: (703) 726-4444 | D3ntist 44365 Premier Plz Suite #230 Ashburn VA 20147-5057 Ph: (703) 726-4444 |
| NPI Number | 1568635225 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568635225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401410680 (Virginia) | Primary |
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