Healthcare Provider Details

I. General information

NPI: 1194823047
Provider Name (Legal Business Name): MANIJEH ASKARIEH DDS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 F ST N W SUITE 304
WASHINGTON DC
20037-2755
US

IV. Provider business mailing address

47330 VISTA COURT
POTOMAE FALLS VA
20165-7619
US

V. Phone/Fax

Practice location:
  • Phone: 202-785-1999
  • Fax: 202-785-1948
Mailing address:
  • Phone: 703-404-0788
  • Fax: 202-785-1948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDEN4892
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number0401008298
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: