Tina Abolghasemi

NPI #1245119932 in Chantilly, Virginia

Provider Information

NPI Number: 1245119932
Entity Type: Individual
Name: Tina Abolghasemi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 28, 2025
Last Updated: Aug 28, 2025

Practice Location

Address: 14337 NEWBROOK DR STE 200
City: Chantilly
State: Virginia
ZIP Code: 20151-4259
Phone: (703) 214-2113

Specialties & Taxonomy Codes

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

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