Organization
HASHEM SEDAGHATPOUR D.M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASHEM SEDAGHATPOUR (OWNER)
(703) 250-5790
Entity
Organization
Contact information
Practice address
5631 BURKE CENTRE PKWY, SUITE D, BURKE, VA 22015-2234
(703) 250-5790
(703) 250-2935
Mailing address
5631 BURKE CENTRE PKWY, SUITE D, BURKE, VA 22015-2234
(703) 250-5790
(703) 250-2935
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007900
VA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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