DR. Anisa Fanaeian, DMD

NPI #1073232625 in Sterling, Virginia

Provider Information

NPI Number: 1073232625
Entity Type: Individual
Name: DR. Anisa Fanaeian, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 25, 2022
Last Updated: Aug 25, 2022

Practice Location

Address: 117 COFFEE TREE CT
City: Sterling
State: Virginia
ZIP Code: 20164-2428
Phone: (404) 343-9462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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