Organization
ISAM ESTWANI, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAM ESTWANI D.D.S. (PRESIDENT)
(703) 955-4221
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
—
VA
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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