Organization
ALEXANDRIA DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVA Y KERMANSHI DMD (ORTHODONTIST)
(703) 861-6797
Entity
Organization
Contact information
Practice address
715 PENDLETON ST, ALEXANDRIA, VA 22314-1820
(571) 970-3783
(571) 970-3827
Mailing address
715 PENDLETON ST, ALEXANDRIA, VA 22314-1820
(571) 970-3783
(571) 970-3827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410638
VA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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