Individual
DR. ISAM B ESTWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
625 ELDEN ST, SUITE 201, HERNDON, VA 20170-4738
(703) 955-4221
(703) 435-7776
Mailing address
625 ELDEN ST, SUITE 201, HERNDON, VA 20170-4738
(703) 955-4221
(703) 435-7776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410091
VA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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