Organization
THE TOOTH DOC LLC
Active
Other names
The tooth Doc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFSANEH S SHAHIDI DDS (OWNER)
(703) 483-0857
Entity
Organization
Contact information
Practice address
1911 BALLENGER AVE, ALEXANDRIA, VA 22314-6819
(703) 299-1200
(703) 299-1222
Mailing address
1911 BALLENGER AVE, ALEXANDRIA, VA 22314-6819
(703) 299-1200
(703) 299-1222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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