Individual
DR. SHIVA KERMANSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6060 ARLINGTON BLVD, SUITE 200, FALLS CHURCH, VA 22044-2943
(703) 861-6797
(703) 237-3666
Mailing address
PO BOX 7186, ARLINGTON, VA 22207-0186
(703) 861-6797
(703) 237-3666
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401410790
VA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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