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
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