| Sasan Ahmadiyar, Dds,pllc | |
|
1911 Ballenger Ave Alexandria VA 22314-6819 | |
| (703) 299-1200 | |
| Not Available |
| Full Name | Sasan Ahmadiyar, Dds,pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1911 Ballenger Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Sasan Ahmadiyar (DENTIST) |
| Authorized Official Contact | 7032991200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sasan Ahmadiyar, Dds,pllc 10608 Leavells Rd Fredericksburg VA 22407-1256 Ph: (540) 710-6000 | Sasan Ahmadiyar, Dds,pllc 1911 Ballenger Ave Alexandria VA 22314-6819 Ph: (703) 299-1200 |
| NPI Number | 1396259586 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 11/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396259586 | NPI | - | NPPES |
| 1699801787 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008767 (Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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