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NPI Code Detail

MEDICARE: HANAN NASER DDS

MEDICARE:   HANAN  NASER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
21223G0001XGeneral Practice Dentistry0401417230VA

General Provider Information

NPI Number : 1164031175
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANAN NASER DDS
Provider Business Mailing Address
First Line : 1533 TANNER ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-2909
Country : US
Telephone Number : 443-299-8002
Fax Number :
Provider Business Practice Location Address
First Line : 915 N QUINCY ST
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1907
Country : US
Telephone Number : 703-276-1010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2020
Last Update Date : 02/23/2022

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Directions to “ HANAN NASER DDS” Practice Location

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