| Opann Dental Pllc | |
|
4220 Evergreen Ln Annandale VA 22003-3209 | |
| (646) 648-2528 | |
| Not Available |
| Full Name | Opann Dental Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4220 Evergreen Ln, Annandale, Virginia |
| Authorized Official Name and Position | Amin Neishaboory (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 6466482528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opann Dental Pllc 4220 Evergreen Ln Annandale VA 22003-3209 Ph: (646) 648-2528 | Opann Dental Pllc 4220 Evergreen Ln Annandale VA 22003-3209 Ph: (646) 648-2528 |
| NPI Number | 1740008499 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740008499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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