Provider Demographics
NPI:1689906224
Name:A. SANATI D.D.S & S. SHAHRAM D.D.S PC
Entity Type:Organization
Organization Name:A. SANATI D.D.S & S. SHAHRAM D.D.S PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARDALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANATI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-343-0504
Mailing Address - Street 1:8605 WESTWOOD CENTER DR
Mailing Address - Street 2:210
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2240
Mailing Address - Country:US
Mailing Address - Phone:703-442-0770
Mailing Address - Fax:703-442-0771
Practice Address - Street 1:8605 WESTWOOD CENTER DR
Practice Address - Street 2:210
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2240
Practice Address - Country:US
Practice Address - Phone:703-442-0770
Practice Address - Fax:703-442-0771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental