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Dental Providers Dentist Periodontics

Provider NPI: 1033279575

Organization Information:
Organization is not Subpart
Authorized Official:  HOMAN  SOLEMANINEJAD  DOCTOR  703-587-3455

Practice Location:
Tel: 703-587-3455  Fax: --

Business Mailing Address:
PO BOX 7186  ARLINGTON, VA 22207-0186 US
Tel: 703-587-3455  Fax: --

NPI Information:
NPI: 1033279575
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N1223P0300XDental Providers
N1223X0400XDental Providers
Y1223G0001XDental Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 1223G0001X





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