| NPI | 1790187516 |
|---|---|
| Doing Business As | ALEXANDRIA DENTAL ART |
| Entity Type | Organization |
| Authorized Contact | NAVI AMIN ASGARI Practice Owner 703-556-8799 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401008923) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401410470) |
| 122300000X Dentist (Licence: VA 0401413354) | |
| 1223P0300X Dentist, Periodontics (Licence: VA 0401413982) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0438000159) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401411446) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |