District Dermatology, PLLC
Dermatology in Mc Lean, VA. Organization (NPI-2).
NPI number1578079620
StatusActive
Last updated in NPPESDec 26, 2017
Details
- NPI
- 1578079620
- Entity type
- Organization (NPI-2)
- Legal business name
- District Dermatology, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 26, 2017
- Last updated
- Dec 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
6711 Whittier Ave Ste 101Mc Lean, VA 22101-4540
Phone 703-798-0610
Mailing address
6711 Whittier Ave Ste 101Mc Lean, VA 22101-4540
Authorized official
Ali Damavandy
Owner
7037980610
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