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Organization
DR. MOJDEH VESSALI FAMILY DENTISTRY
Active
Organization
DR. MOJDEH VESSALI FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOJDEH VESSALI DDS (GENERAL DENTIST)
(703) 736-0900
Entity
Organization
Contact information
Practice address
505 HUNTMAR PARK DRIVE, #150, HERNDON, VA 20170
(703) 736-0900
(703) 736-0666
Mailing address
505 HUNTMAR PARK DR, #150, HERNDON, VA 20170-5103
(703) 736-0900
(703) 736-0666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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