Organization
MINA ARMANIOUS, DDS, PLLC
Active
Other names
Smile at Ashburn Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA ARMANIOUS DDS (DDS/OWNER)
(703) 239-7575
Entity
Organization
Contact information
Practice address
21035 SYCOLIN RD STE 85, ASHBURN, VA 20147-4311
(703) 239-7575
(571) 517-2106
Mailing address
21035 SYCOLIN RD STE 85, ASHBURN, VA 20147-4311
(703) 239-7575
(571) 517-2106
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063070068
—
VA
05
—
30017501710001
—
VA
Enumeration date
12/07/2022
Last updated
12/07/2022
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