Healthcare Provider Details

I. General information

NPI: 1033279575
Provider Name (Legal Business Name): ARLINGTON DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 09/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 ARLINGTON BLVD
FALLS CHURCH VA
22044-2943
US

IV. Provider business mailing address

PO BOX 7186
ARLINGTON VA
22207-0186
US

V. Phone/Fax

Practice location:
  • Phone: 703-587-3455
  • Fax:
Mailing address:
  • Phone: 703-587-3455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. HOMAN SOLEMANINEJAD
Title or Position: DOCTOR
Credential: DMD
Phone: 703-587-3455