Herndon Dental Care

NPI #1972199420 in Herndon, Virginia

Provider Information

NPI Number: 1972199420
Entity Type: Organization
Organization Name: Herndon Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 18, 2020
Last Updated: Dec 18, 2020

Practice Location

Address: 12973 HIGHLAND CROSSING DR STE B
City: Herndon
State: Virginia
ZIP Code: 20171-5890
Phone: (678) 906-8367

Authorized Official

Name: DR. AYESAN HEMATI, DDS
Title: PROSTHODONTIST
Phone: (678) 906-8367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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