DR. Roxanne Azmoudeh

NPI #1073715314 in Ashburn, Virginia

Provider Information

NPI Number: 1073715314
Entity Type: Individual
Name: DR. Roxanne Azmoudeh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: May 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 44355 PREMIER PLZ STE 100
City: Ashburn
State: Virginia
ZIP Code: 20147-5050
Phone: (703) 858-9146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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