Individual
NINO TSINTSADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
715 PENDLETON ST, ALEXANDRIA, VA 22314-1820
(517) 970-3783
Mailing address
360 H ST NE APT 336, WASHINGTON, DC 20002-5040
(706) 289-7448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415778
VA
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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