Individual
DR. IMAN AYOUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
171 ELDEN ST, SUITE 2C3, HERNDON, VA 20170-4875
(703) 956-6168
(703) 964-9899
Mailing address
500 ASPEN DR, HERNDON, VA 20170-5308
(703) 955-7232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411724
VA
Other
Enumeration date
08/30/2006
Last updated
10/14/2013
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