Provider Demographics
NPI:1235513086
Name:JANABI, ELI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELI
Middle Name:
Last Name:JANABI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7787 LEESBURG PIKE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2412
Mailing Address - Country:US
Mailing Address - Phone:703-982-2222
Mailing Address - Fax:
Practice Address - Street 1:7787 LEESBURG PIKE
Practice Address - Street 2:SUITE #2
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2412
Practice Address - Country:US
Practice Address - Phone:703-982-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414930122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist