Roxanne Azmoudeh, D.d.s. P. C.

NPI #1366937096 in Ashburn, Virginia

Provider Information

NPI Number: 1366937096
Entity Type: Organization
Organization Name: Roxanne Azmoudeh, D.d.s. P. C.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 26, 2018
Last Updated: Jun 26, 2018

Practice Location

Address: 44355 PREMIER PLZ STE 100
City: Ashburn
State: Virginia
ZIP Code: 20147-5050
Phone: (703) 858-9146

Authorized Official

Name: DR. ROXANNE AZMOUDEH, DDS
Title: PRESIDENT
Phone: (703) 858-9146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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