DR. Mohsen Izadi, DDS

NPI #1083829444 in Vienna, Virginia

Provider Information

NPI Number: 1083829444
Entity Type: Individual
Name: DR. Mohsen Izadi, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 133 MAPLE AVE E
Address 2: SUITE 206
City: Vienna
State: Virginia
ZIP Code: 22180-5741
Phone: (703) 319-9880

Specialties & Taxonomy Codes

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

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