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1710044623
MICHAEL EGHTESSAD
ASHBURN, VA
NPI
1710044623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401410302)
Enumeration Date
2007-01-02
Last Update Date
2014-11-11
Business Address
-- MICHAEL EGHTESSAD
44330 PREMIER PLZ STE 140
ASHBURN, VA 20147-5071
Phone number: 703-726-0333
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Mailing Address
-- MICHAEL EGHTESSAD
44330 PREMIER PLZ STE 140
ASHBURN, VA 20147-5071
Phone number: 703-726-0333
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