Provider Demographics
NPI:1700452174
Name:ARIF, AIYLA (DMD)
Entity Type:Individual
Prefix:
First Name:AIYLA
Middle Name:
Last Name:ARIF
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13317 JARIST CT
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-0976
Mailing Address - Country:US
Mailing Address - Phone:703-507-5347
Mailing Address - Fax:
Practice Address - Street 1:11213 LEE HWY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5698
Practice Address - Country:US
Practice Address - Phone:703-507-5347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401417087122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist