Individual
MAHNAZ JALALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
44031 ASHBURN SHOPPING PLZ, SUITE 131, ASHBURN, VA 20147-7917
(703) 858-3456
Mailing address
1348 LE PARC TER, CHARLOTTESVILLE, VA 22901-3198
(434) 973-6487
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410332
VA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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