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1497163638
MITRA HOOSHANGI DDS, LLC
VIENNA, VA
NPI
1497163638
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Entity Type
Organization
Authorized Contact
MITRA HOOSHANGI
Dentist
703-893-7900
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401007850)
Enumeration Date
2014-07-31
Last Update Date
2014-07-31
Business Address
MITRA HOOSHANGI DDS, LLC
2112 GALLOWS RD # D
VIENNA, VA 22182-3963
Phone number: 703-893-7900
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Mailing Address
MITRA HOOSHANGI DDS, LLC
2112 GALLOWS RD # D
VIENNA, VA 22182-3963
Phone number: 703-893-7900
Copy
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