Individual
FEREIDOON REZVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1712 EYE STREET NW, SUITE 600, WASHINGTON, DC 20006
(202) 331-0655
(202) 331-8558
Mailing address
1712 EYE STREET NW, SUITE 600, WASHINGTON, DC 20006
(202) 331-0655
(202) 331-8558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00004380
DC
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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