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NPI Code Detail

MEDICARE: ARLINGTON DENTAL CARE

MEDICARE: ARLINGTON DENTAL CARE
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
11223P0300XPeriodontics
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry
31223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1033279575
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARLINGTON DENTAL CARE
Provider Business Mailing Address
First Line : PO BOX 7186
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-0186
Country : US
Telephone Number : 703-587-3455
Fax Number :
Provider Business Practice Location Address
First Line : 6060 ARLINGTON BLVD
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22044-2943
Country : US
Telephone Number : 703-587-3455
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. HOMAN SOLEMANINEJAD
Credential : DMD
Telephone Number : 703-587-3455
Provider Enumeration Date : 12/12/2006
Last Update Date : 09/15/2009

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Directions to “ARLINGTON DENTAL CARE ” Practice Location

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