Individual
DR. MOHSEN IZADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
133 MAPLE AVE E, SUITE 206, VIENNA, VA 22180-5741
(703) 319-9880
(703) 319-9885
Mailing address
133 MAPLE AVE E, SUITE 206, VIENNA, VA 22180-5741
(703) 319-9880
(703) 319-9885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7484
VA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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