Individual
DR. JASON NIKKHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
163 FORT EVANS RD NE, LEESBURG, VA 20176-4420
(703) 459-5231
Mailing address
847 FERNDALE TER NE, LEESBURG, VA 20176-4872
(703) 459-5231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414653
VA
Other
Enumeration date
10/23/2014
Last updated
10/11/2021
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