Provider Demographics
NPI:1023216496
Name:JAHANGIRI, AROUSHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:AROUSHA
Middle Name:
Last Name:JAHANGIRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 19TH ST NW
Mailing Address - Street 2:SUITE 512
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3701
Mailing Address - Country:US
Mailing Address - Phone:202-331-1640
Mailing Address - Fax:202-331-9039
Practice Address - Street 1:1145 19TH ST NW
Practice Address - Street 2:SUITE 512
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3701
Practice Address - Country:US
Practice Address - Phone:202-331-1640
Practice Address - Fax:202-331-9039
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411878122300000X
DCDEN1001167122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist