# NIKKHAH, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** d3ntist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568635225
- **Authorized official:** DR. POURAN NIKKHAH DOCTOR (CEO)
- **Authorized official phone:** (703) 430-5700

## Contact information

- **Practice address:** 44365 PREMIER PLZ, SUITE \#230, ASHBURN, VA 20147-5057
- **Practice address phone:** (703) 726-4444
- **Practice address fax:** (703) 935-8018
- **Mailing address:** 44365 PREMIER PLZ, SUITE \#230, ASHBURN, VA 20147-5057
- **Mailing address phone:** (703) 726-4444
- **Mailing address fax:** (703) 935-8018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410680 | VA | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 04/02/2008