Kambiz and Kamran Tavakkoli Dmd, PC
NPI #1497871057 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1497871057
- Entity Type
- Organization
- Organization Name
- Kambiz and Kamran Tavakkoli Dmd, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 12500 LAKE RIDGE DR
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-2354
- Phone
- (703) 494-3176
Authorized Official
- Name
- DR. KAMBIZ TAVAKKOLI, DMD
- Title
- DOCTOR
- Phone
- (703) 494-3176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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