Individual
KIANOUSH ALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
2440 M ST NW, SUITE 608, WASHINGTON, DC 20037-1404
(202) 822-3785
(202) 822-9096
Mailing address
2440 M ST NW, SUITE 608, WASHINGTON, DC 20037-1404
(202) 822-3785
(202) 822-9096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4802
DC
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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