Mahsasadat Mortazavi

NPI #1194450551 in Burke, Virginia

Provider Information

NPI Number: 1194450551
Entity Type: Individual
Name: Mahsasadat Mortazavi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jul 20, 2022
Last Updated: Jul 20, 2022

Practice Location

Address: 6505 SYDENSTRICKER RD STE B
City: Burke
State: Virginia
ZIP Code: 22015-4282
Phone: (703) 691-5343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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