Sherry Anoushfar D D S P C

NPI #1629492871 in Vienna, Virginia

Provider Information

NPI Number: 1629492871
Entity Type: Organization
Organization Name: Sherry Anoushfar D D S P C
Primary Specialty: Dentist
Enumeration Date: Feb 8, 2014
Last Updated: Aug 22, 2014

Practice Location

Address: 133 MAPLE AVE E
Address 2: 206
City: Vienna
State: Virginia
ZIP Code: 22180-5741
Phone: (703) 319-9880

Authorized Official

Name: DR. MOHSEN IZADI, D.D.S.
Title: DOCTOR
Phone: (703) 319-9880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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