Individual
POURAN NIKKHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
44365 PREMIER PLZ, SUITE #230, ASHBURN, VA 20147-5057
(703) 726-4444
(703) 935-8018
Mailing address
107 E HOLLY AVE, SUITE #9, STERLING, VA 20164-5405
(703) 430-5700
(703) 935-8018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410680
VA
122300000X
Dentist
MD12564
MD
Other
Enumeration date
03/05/2007
Last updated
07/09/2007
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