Alexandria Dental Center, Pllc
NPI #1093048654 in Alexandria, Virginia
Provider Information
- NPI Number
- 1093048654
- Entity Type
- Organization
- Organization Name
- Alexandria Dental Center, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 15, 2009
- Last Updated
- Sep 15, 2009
Practice Location
- Address
- 715 PENDLETON ST
- City
- Alexandria
- State
- Virginia
- ZIP Code
- 22314-1820
- Phone
- (571) 970-3783
Authorized Official
- Name
- DR. SHIVA Y KERMANSHI, DMD
- Title
- ORTHODONTIST
- Phone
- (703) 861-6797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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