NICKIE BASTANI, DDS

Dentist - Pediatric Dentistry

Active Individual
NPI: 1801140892

Practice Address

3700 JOSEPH SIEWICK DR STE 104
Fairfax, VA 22033

Phone: (703) 620-9122

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 2901020839 (MI)
Dentist - Pediatric Dentistry 1223P0221X Yes 2901020839 (MI)

Frequently Asked Questions

NPI 1801140892 is the National Provider Identifier for NICKIE BASTANI, DDS, a Dentist - Pediatric Dentistry provider located in Fairfax, VA. This NPI was enumerated on October 30, 2012.
NICKIE BASTANI, DDS practices at 3700 JOSEPH SIEWICK DR STE 104, Fairfax, VA 22033.

Quick Facts

NPI
1801140892
Type
Individual
Enumerated
Oct 30, 2012
Last Updated
Jan 21, 2021

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