Individual
DR. AMIRREZA GHASSEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
521 N 11TH ST, RICHMOND, VA 23298-5016
(804) 827-1710
Mailing address
2800 COLLEGE AVE BLDG 285, ALTON, IL 62002-4742
(618) 474-7211
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019.031565
IL
Other
Enumeration date
07/30/2018
Last updated
04/25/2024
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