Provider Demographics
NPI:1417434762
Name:KOHI, ARIAN (DDS)
Entity type:Individual
Prefix:
First Name:ARIAN
Middle Name:
Last Name:KOHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 BOYD POINTE WAY APT 1910
Mailing Address - Street 2:
Mailing Address - City:TYSONS
Mailing Address - State:VA
Mailing Address - Zip Code:22182-7551
Mailing Address - Country:US
Mailing Address - Phone:304-276-2603
Mailing Address - Fax:
Practice Address - Street 1:4 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-3333
Practice Address - Country:US
Practice Address - Phone:301-790-2007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-19
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014162181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice