Individual
DR. GINA GENEVIA ASKANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2810 OLD LEE HWY STE 200A, FAIRFAX, VA 22031-4376
(703) 705-9035
Mailing address
6605 SKY BLUE CT, ALEXANDRIA, VA 22315-5065
(303) 501-9962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416658
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401416658
VIRGINIA DENTAL LICENSE
VA
Enumeration date
07/16/2019
Last updated
01/21/2020
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