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General NPI Number Information
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NPI Number | 1093367310
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Entity Type | Individual
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Provider Name | GINA GENEVIA ASKANDER DMD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 2810 OLD LEE HWY STE 200A
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City | FAIRFAX
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State | VA
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Zip | 22031-4376
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Country | US
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Telephone | 703-705-9035
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Fax |
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Provider Business Mailing Address
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Address Line | 6605 SKY BLUE CT
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5065
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Country | US
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Telephone | 303-501-9962
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401416658
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License Number State | VA
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