Provider Demographics
NPI:1275949828
Name:FADI ALHRASHI DDS PLLC
Entity Type:Organization
Organization Name:FADI ALHRASHI DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FADI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHRASHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-785-9667
Mailing Address - Street 1:22869 CHESTNUT OAK TER
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-4464
Mailing Address - Country:US
Mailing Address - Phone:703-785-9667
Mailing Address - Fax:
Practice Address - Street 1:5659 COLUMBIA PIKE
Practice Address - Street 2:STE 100
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2878
Practice Address - Country:US
Practice Address - Phone:703-417-9840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413404122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty