MAHSASADAT MORTAZAVI

BURKE, VA
NPI1194450551
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: VA  0401417746)
Enumeration Date2022-07-20
Last Update Date2022-07-20
Business Address
MAHSASADAT MORTAZAVI
6505 SYDENSTRICKER RD STE B
BURKE, VA 22015-4282
Phone number: 703-691-5343
Mailing Address
MAHSASADAT MORTAZAVI
1747 TYSONS CENTRAL ST APT 2407
VIENNA, VA 22182-6058
Phone number: 510-333-1711