Individual
AMIR ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4701 RANDOLPH RD STE G10, ROCKVILLE, MD 20852-2259
(301) 468-0020
Mailing address
700 N RANDOLPH ST APT 1200, ARLINGTON, VA 22203-2188
(240) 393-2606
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17303
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN2000121
DC
Other
Enumeration date
03/27/2018
Last updated
06/08/2022
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