# ARTISTE DENTISTRY LLC

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

## Provider details

- **NPI number:** 1467720078
- **Authorized official:** DR. TARA MOSHIRI DDS (OWNER)
- **Authorized official phone:** (703) 434-3286

## Contact information

- **Practice address:** 46090 LAKE CENTER PLZ, SUITE 107, STERLING, VA 20165-5876
- **Practice address phone:** (703) 434-3286
- **Mailing address:** 46090 LAKE CENTER PLZ, SUITE 107, STERLING, VA 20165-5876
- **Mailing address phone:** (703) 434-3286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410136 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0401410136 | VA | — |

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 12/09/2011