| The Tooth Doc Llc | |
|
1911 Ballenger Ave Alexandria VA 22314-6819 | |
| (703) 299-1200 | |
| (703) 299-1222 |
| Full Name | The Tooth Doc Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1911 Ballenger Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Afsaneh S Shahidi (OWNER) |
| Authorized Official Contact | 7034830857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Tooth Doc Llc 1911 Ballenger Ave Alexandria VA 22314-6819 Ph: (703) 299-1200 | The Tooth Doc Llc 1911 Ballenger Ave Alexandria VA 22314-6819 Ph: (703) 299-1200 |
| NPI Number | 1740055680 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740055680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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