Provider Demographics
NPI:1427398932
Name:ARAYA, SAHLE SELASSIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAHLE SELASSIE
Middle Name:
Last Name:ARAYA
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 1:5500 HOLMES RUN PKWY
Mailing Address - Street 2:STE C-3
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2863
Mailing Address - Country:US
Mailing Address - Phone:703-751-1540
Mailing Address - Fax:571-970-4670
Practice Address - Street 1:5500 HOLMES RUN PKWY
Practice Address - Street 2:STE C-3
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2863
Practice Address - Country:US
Practice Address - Phone:703-751-1540
Practice Address - Fax:571-970-4670
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411705122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist