Individual
DR. TARA TAFRESHI MOSHIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
46090 LAKE CENTER PLZ, SUITE 107, STERLING, VA 20165-5876
(703) 434-3286
Mailing address
2917 BLUE HOLLY LN, HERNDON, VA 20171-3853
(703) 716-4319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410136
VA
1223G0001X
General Practice Dentistry
0401410136
VA
Other
Enumeration date
05/05/2007
Last updated
02/26/2016
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