Individual
SIAMAK NASSERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1613 HARVARD ST NW STE 108, WASHINGTON, DC 20009-3710
(202) 462-5227
Mailing address
1613 HARVARD ST NW STE 108, WASHINGTON, DC 20009-3710
(202) 462-5227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
51204
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN5646
DC
Other
Enumeration date
03/02/2009
Last updated
12/29/2017
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