Most Relevant Information
Provider Data
| NPI Number: | 1003036021 |
| Provider Name: | MAHA ALKISHTAINI DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 0401411499 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6340 BRANDON AVE
SPRINGFIELD
VA
221502511
Practice Location Phone/Fax
| Phone: | 7036440080 |
| Fax: | 7036449736 |
Provider Mailing Location
9661 MAIN ST
SUITE C
FAIRFAX
VA
220313757
Provider Mailing Phone/Fax
| Phone: | 7034253737 |
| Fax: | 7034253762 |