Provider Demographics
NPI:1225303704
Name:SENSENBRENNER, DIANA VARTUI (DDS)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:VARTUI
Last Name:SENSENBRENNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:VARTUI
Other - Last Name:BABIKIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6180 EDSALL RD
Mailing Address - Street 2:APT. 106
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-5810
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21631 RIDGETOP CIR STE 240
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-4288
Practice Address - Country:US
Practice Address - Phone:703-444-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413486122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist