Organization
NOVICARE ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVA KERMANSHI DMD (OWNER)
(703) 861-6797
Entity
Organization
Contact information
Practice address
717 PENDLETON ST, ALEXANDRIA, VA 22314-1820
(571) 970-3801
(571) 970-3827
Mailing address
717 PENDLETON ST, ALEXANDRIA, VA 22314-1820
(571) 970-3801
(571) 970-3827
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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