Ghanbari & Koshki, DDS PC
NPI #1184644494 in Centreville, Virginia
Provider Information
- NPI Number
- 1184644494
- Entity Type
- Organization
- Organization Name
- Ghanbari & Koshki, DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Jul 10, 2007
Practice Location
- Address
- 5727 CENTRE SQUARE DR
- City
- Centreville
- State
- Virginia
- ZIP Code
- 20120-1916
- Phone
- (703) 803-9200
Authorized Official
- Name
- MRS. KELLY ANN SPICER
- Title
- OFFICE MANAGER
- Phone
- (703) 803-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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