Dr. Mojdeh Vessali Family Dentistry

NPI #1942742861 in Herndon, Virginia

Provider Information

NPI Number: 1942742861
Entity Type: Organization
Organization Name: Dr. Mojdeh Vessali Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 9, 2016
Last Updated: Nov 9, 2016

Practice Location

Address: 505 HUNTMAR PARK DRIVE
Address 2: #150
City: Herndon
State: Virginia
ZIP Code: 20170
Phone: (703) 736-0900

Authorized Official

Name: DR. MOJDEH VESSALI, DDS
Title: GENERAL DENTIST
Phone: (703) 736-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - General Practice — General Practice	1223G0001X	Primary

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