Organization
BLOSSOM DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHBOUBEH SAHRAI DDS (DDS)
(202) 922-2900
Entity
Organization
Contact information
Practice address
2600 VIRGINIA AVE NW STE 501, WASHINGTON, DC 20037-1946
(202) 922-2900
Mailing address
2600 VIRGINIA AVE NW STE 501, WASHINGTON, DC 20037-1946
(202) 922-2900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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