Individual
DR. MAHDI MOJARRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14337 NEWBROOK DR STE 200, CHANTILLY, VA 20151-4259
(703) 214-2113
Mailing address
1559 WESTMORELAND ST, MC LEAN, VA 22101-4443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401416679
VA
1223G0001X
General Practice Dentistry
Primary
0401416679
VA
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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