| Novicare Orthodontics Pllc | |
|
717 Pendleton St Alexandria VA 22314-1820 | |
| (571) 970-3801 | |
| (571) 970-3827 |
| Full Name | Novicare Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 717 Pendleton St, Alexandria, Virginia |
| Authorized Official Name and Position | Shiva Kermanshi (OWNER) |
| Authorized Official Contact | 7038616797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novicare Orthodontics Pllc 717 Pendleton St Alexandria VA 22314-1820 Ph: (571) 970-3801 | Novicare Orthodontics Pllc 717 Pendleton St Alexandria VA 22314-1820 Ph: (571) 970-3801 |
| NPI Number | 1356819981 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356819981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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