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1235128950
MANSOUR MORTAZIE
FALLS CHURCH, VA
NPI
1235128950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401005721)
Enumeration Date
2005-10-15
Last Update Date
2014-03-12
Business Address
Dr. MANSOUR MORTAZIE D.D.S
313 PARK AVE SUITE 302
FALLS CHURCH, VA 22046-3327
Phone number: 703-237-0662
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Mailing Address
Dr. MANSOUR MORTAZIE D.D.S
313 PARK AVE SUITE 302
FALLS CHURCH, VA 22046-3327
Phone number: 703-237-0662
Copy
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