Provider Demographics
NPI:1598853947
Name:ARMANIOUS, BASMA M (DMD)
Entity type:Individual
Prefix:DR
First Name:BASMA
Middle Name:M
Last Name:ARMANIOUS
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 1:8092 GENEA WAY
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1230
Mailing Address - Country:US
Mailing Address - Phone:646-584-0414
Mailing Address - Fax:
Practice Address - Street 1:6400 ARLINGTON BLVD
Practice Address - Street 2:STE944
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2325
Practice Address - Country:US
Practice Address - Phone:703-534-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413545122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist