Individual
ALI REZA MOJARAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
700 E FRANKLIN ST APT 1201, RICHMOND, VA 23219-2333
(571) 499-0230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418983
VA
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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