Dr. Isam B Estwani, DDS
Dentist, General Practice in Herndon, VA. Individual provider (NPI-1).
NPI number1760692016
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1760692016
- Entity type
- Individual (NPI-1)
- Name
- Dr. Isam B Estwani
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401410091 | VA | Yes |
Practice location
625 Elden StSuite 201
Herndon, VA 20170-4738
Phone 703-955-4221 · Fax 703-435-7776
Mailing address
625 Elden StSuite 201
Herndon, VA 20170-4738
Phone 703-955-4221 · Fax 703-435-7776
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