DR. Mansour Mortazie, D.D.S

NPI #1235128950 in Falls Church, Virginia

Provider Information

NPI Number: 1235128950
Entity Type: Individual
Name: DR. Mansour Mortazie, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Oct 15, 2005
Last Updated: Mar 12, 2014

Practice Location

Address: 313 PARK AVE
Address 2: SUITE 302
City: Falls Church
State: Virginia
ZIP Code: 22046-3327
Phone: (703) 237-0662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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