Individual
MOJDEH KHALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3317 DUKE ST, ALEXANDRIA, VA 22314-4522
(703) 212-0400
Mailing address
3317 DUKE ST, ALEXANDRIA, VA 22314-4522
(703) 212-0400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007490
VA
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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