Organization
NADERPLC
Active
Other names
Ashburn Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON NIKKHAH D.M.D. (DENTIST)
(703) 459-5231
Entity
Organization
Contact information
Practice address
44014 CHELTENHAM CIR, ASHBURN, VA 20147-4900
(703) 459-5231
Mailing address
44365 PREMIER PLZ, SUITE 230, ASHBURN, VA 20147-5057
(703) 726-7508
(703) 935-8018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414653
VA
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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