Individual
DR. NAKYSA KHEIRANDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
22855 BRAMBLETON PLZ STE 200, BRAMBLETON, VA 20148-4871
(703) 327-1718
Mailing address
8307 SOUTHERN OAKS CT, LORTON, VA 22079-3058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10736
KY
1223G0001X
General Practice Dentistry
0401417481
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401417481
VA
Other
Enumeration date
06/24/2021
Last updated
07/01/2024
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