MEDICARE: DR. BRACES

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1447973961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. BRACES

Provider Business Mailing Address
First Line	:	1203 PRINCE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2916
Country	:	US
Telephone Number	:	202-743-4518
Fax Number	:

Provider Business Practice Location Address
First Line	:	1203 PRINCE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2916
Country	:	US
Telephone Number	:	202-743-4518
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	AFSANEH RANGIANI
Credential	:	DDS
Telephone Number	:	469-233-8914

Provider Enumeration Date	:	09/20/2022
Last Update Date	:	09/20/2022

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Directions to “DR. BRACES ” Practice Location

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