DR. Mohammad Moien Monzavi, DDS

NPI #1841919479 in Fairfax, Virginia

Provider Information

NPI Number: 1841919479
Entity Type: Individual
Name: DR. Mohammad Moien Monzavi, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 25, 2022
Last Updated: Aug 25, 2022

Practice Location

Address: 12011 LEE JACKSON MEMORIAL HWY STE 105
City: Fairfax
State: Virginia
ZIP Code: 22033-3310
Phone: (703) 596-0875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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