| Isam Estwani, Dds, Inc | |
|
625 Elden St Suite 201 Herndon VA 20170-4738 | |
| (703) 955-4221 | |
| (703) 435-7776 |
| Full Name | Isam Estwani, Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 625 Elden St, Herndon, Virginia |
| Authorized Official Name and Position | Isam Estwani (PRESIDENT) |
| Authorized Official Contact | 7039554221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isam Estwani, Dds, Inc 625 Elden St Suite 201 Herndon VA 20170-4738 Ph: (703) 955-4221 | Isam Estwani, Dds, Inc 625 Elden St Suite 201 Herndon VA 20170-4738 Ph: (703) 955-4221 |
| NPI Number | 1861672370 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861672370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Virginia) | Primary |
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