Healthcare Provider Details

I. General information

NPI: 1992198949
Provider Name (Legal Business Name): DAHMAN AND SALEH DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2015
Last Update Date: 03/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 FORT MYER DR LBBY 101
ARLINGTON VA
22209-1603
US

IV. Provider business mailing address

1911 FORT MYER DR LBBY 101
ARLINGTON VA
22209-1603
US

V. Phone/Fax

Practice location:
  • Phone: 703-351-7645
  • Fax:
Mailing address:
  • Phone: 703-351-7645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MOUHAMMAD DAHMAN
Title or Position: PARTNER
Credential:
Phone: 703-351-7645