The Tooth Doc Family Dentistry

NPI 1295157501 - Dentist - 122300000X

NPI Details
NPI 1295157501
Enumeration Date 01/07/2014
Last Updated 01/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name IMANEY IMANEY
Position DENTIST
Phone (703) 793-0291
Fax (703) 793-0292
Practice Location
2465 CENTREVILLE RD
STE J-15
HERNDON VA, 20171-4586, US
Phone (703) 793-0291
Fax (703) 793-0292
Business Location
2465 CENTREVILLE RD
STE J-15
HERNDON VA, 20171-4586, US
Phone (703) 793-0291
Fax (703) 793-0292
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 0401412948
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According to our database, The Tooth Doc Family Dentistry NPI is 1295157501, taxonomy code is 122300000X and license number is 0401412948, license state is located at Virginia. The Tooth Doc Family Dentistry physically located at 2465 Centreville Rd, Herndon VA, 20171-4586. NPI Number 1033115704 has the healthcare provider type.

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1295157501 NPI number is provided on an as is basis without warranty of any kind. 1295157501 is maintained by the National Plan & Provider Enumeration System. The contents of The Tooth Doc Family Dentistry are for informational purposes only.