Michael Eghtessad

NPI #1710044623 in Ashburn, Virginia

Provider Information

NPI Number
1710044623
Entity Type
Individual
Name
Michael Eghtessad
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 2, 2007
Last Updated
Nov 11, 2014

Practice Location

Address
44330 PREMIER PLZ STE 140
ZIP Code
20147-5071
Phone
(703) 726-0333

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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