Individual
DR. MAHNOUSH NESHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1746 COLUMBIA RD NW STE G, WASHINGTON, DC 20009-2863
(202) 797-8989
Mailing address
1830 FOUNTAIN DR UNIT 906, RESTON, VA 20190-4474
(703) 608-9474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1001874
DC
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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