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1154996049
FARZAD KOOSHA
ALEXANDRIA, VA
NPI
1154996049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
FARZAD KOOSHA DDS
6357 BURGUNDY LEAF LN
ALEXANDRIA, VA 22312-3918
Phone number: 202-820-1090
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Mailing Address
FARZAD KOOSHA DDS
6357 BURGUNDY LEAF LN
ALEXANDRIA, VA 22312-3918
Phone number: 202-820-1090
Copy
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