Most Relevant Information
Provider Data
NPI Number: | 1003456989 |
Provider Name: | LEILA NIKPOUR DDS |
Entity Type: | Individual |
Taxonomy Code: | 1223P0700X |
Specialty: | Dentist |
License Number: | 0401416803 |
Most Important Dates
Enumeration Date: | 01/08/2020 |
Last Updated: | 01/08/2020 |
Provider Practice Location
251 W LEE HWY STE 197
WARRENTON
VA
201862047
Practice Location Phone/Fax
Phone: | 5403479364 |
Fax: |
Provider Mailing Location
5865 TRINITY PKWY APT 335
CENTREVILLE
VA
201202445
Provider Mailing Phone/Fax
Phone: | |
Fax: |