Organization
STERLING FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON NIKKHAH D.M.D. (DENTIST)
(703) 430-2400
Entity
Organization
Contact information
Practice address
107 E HOLLY AVE, 9, STERLING, VA 20164-5405
(703) 430-2400
Mailing address
107 E HOLLY AVE, 9, STERLING, VA 20164-5405
(703) 430-2400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414653
VA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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