Individual
HEDIEH KOUSEDGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 JEFFERSON DAVIS HWY, ARLINGTON, VA 22202-3137
(707) 415-0505
Mailing address
7902 TYSONS ONE PL, APT #1006, MC LEAN, VA 22102-5970
(951) 264-7819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415049
VA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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