# ANITA KIANIMANESH D.M.D, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184063547
- **Authorized official:** DR. ANITA KIANIMANESH D.M.D (OWNER)
- **Authorized official phone:** (703) 998-4244

## Contact information

- **Practice address:** 5205 LEESBURG PIKE, SUITE 1406, FALLS CHURCH, VA 22041-3802
- **Practice address phone:** (703) 998-4244
- **Practice address fax:** (703) 998-4246
- **Mailing address:** 5205 LEESBURG PIKE STE 1406, FALLS CHURCH, VA 22041-3894
- **Mailing address phone:** (703) 998-4244
- **Mailing address fax:** (703) 998-4246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401413468 | VA | Yes |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 06/19/2013