Individual
AYESAN HEMATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N VIRGINIA AVE STE 103, FALLS CHURCH, VA 22046-3323
(703) 533-7285
Mailing address
105 N VIRGINIA AVE, FALLS CHURCH, VA 22046-3339
(703) 533-7285
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401417144
VA
Other
Enumeration date
05/01/2017
Last updated
02/12/2024
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