The Tooth Doc Family Dentistry

NPI #1295157501 in Herndon, Virginia

Provider Information

NPI Number: 1295157501
Entity Type: Organization
Organization Name: The Tooth Doc Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Jan 7, 2014
Last Updated: Jan 7, 2014

Practice Location

Address: 2465 CENTREVILLE RD
Address 2: STE J-15
City: Herndon
State: Virginia
ZIP Code: 20171-4586
Phone: (703) 793-0291

Authorized Official

Name: IMANEY AHMAD, DMD
Title: DENTIST
Phone: (703) 793-0291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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