# MOJDEH KHALILI, DDS, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497964183
- **Authorized official:** DR. MOJDEH KHALILI DDS (S-CORP PRESIDENT)
- **Authorized official phone:** (703) 212-0400

## Contact information

- **Practice address:** 3317 DUKE ST, ALEXANDRIA, VA 22314-4522
- **Practice address phone:** (703) 212-0400
- **Practice address fax:** (703) 212-0423
- **Mailing address:** 3317 DUKE ST, ALEXANDRIA, VA 22314-4522
- **Mailing address phone:** (703) 212-0400
- **Mailing address fax:** (703) 212-0423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007490 | VA | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020