Mitra Hooshangi Dds, LLC

NPI #1497163638 in Vienna, Virginia

Provider Information

NPI Number: 1497163638
Entity Type: Organization
Organization Name: Mitra Hooshangi Dds, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 31, 2014
Last Updated: Jul 31, 2014

Practice Location

Address: 2112 GALLOWS RD # D
City: Vienna
State: Virginia
ZIP Code: 22182-3963
Phone: (703) 893-7900

Authorized Official

Name: DR. MITRA HOOSHANGI
Title: DENTIST
Phone: (703) 893-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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