Individual
DR. MOHAMMAD HADI KAMALPOUR-ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2807 DUKE ST, ALEXANDRIA, VA 22314-4512
(412) 557-1294
Mailing address
5206 LYNGATE CT, BURKE, VA 22015
(703) 425-5010
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401417780
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
17356
MD
Other
Enumeration date
06/26/2018
Last updated
03/28/2024
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