# ALEXANDRIA DENTAL ART, PLLC

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

## Provider details

- **NPI number:** 1700430394
- **Authorized official:** DR. SHAGHAYEGH MADANI DDS (DENTIST/OWNER)
- **Authorized official phone:** (703) 566-8799

## Contact information

- **Practice address:** 1001 N FAIRFAX ST STE 100, ALEXANDRIA, VA 22314-2084
- **Practice address phone:** (703) 566-8799
- **Mailing address:** 1001 N FAIRFAX ST STE 100, ALEXANDRIA, VA 22314-2084
- **Mailing address phone:** (703) 566-8799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2019
- **Last updated:** 07/31/2019