Opann Dental Pllc

NPI #1740008499 in Annandale, Virginia

Provider Information

NPI Number: 1740008499
Entity Type: Organization
Organization Name: Opann Dental Pllc
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Oct 1, 2024
Last Updated: Oct 1, 2024

Practice Location

Address: 4220 EVERGREEN LN
City: Annandale
State: Virginia
ZIP Code: 22003-3209
Phone: (646) 648-2528

Authorized Official

Name: DR. AMIN NEISHABOORY
Title: OWNER/ORTHODONTIST
Phone: (646) 648-2528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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