| Doctor Name: | DR. MINA EILEEN ABDOLAHI |
| NPI Number: | 1386982122 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.D.S. |
| License Number: | 30343 |
| Business Practice Address: | 21155 Whitfield Pl Suite 107 Sterling, VA - 201657281 |
| Business Phone Number: | 7034047222 |
| Business Fax Number: | |
| Mailing Address: | 20622 Glenmere Sq, STERLING |
| State: | VA |
| Postal Code: | 201653563 |
| Phone Number: | 7039270711 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2013 |
| NPI Last Update Date: | 06/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 30343 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |