Individual
DR. NAKYSA KHEIRANDISH
Active
Individual
DR. NAKYSA KHEIRANDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
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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