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Organization

MY BRACES DOCTOR, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NAHID N SINA DMD, MS (PRES)
(703) 966-7959
Entity
Organization

Contact information

Practice address
10721 MAIN ST, #300, FAIRFAX, VA 22030-6914
(703) 591-6686
(703) 277-7674
Mailing address
10721 MAIN ST, #300, FAIRFAX, VA 22030-6914
(703) 591-6686
(703) 277-7674

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LOCATION ID: 010495
VA
05
PROVIDER NO: 0012081
VA
Enumeration date
04/09/2008
Last updated
04/09/2008
Update your record

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