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Organization

ADVANCED DENTAL ANESTHESIA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REZA IZADI DO (OWNER)
(202) 265-0508
Entity
Organization

Contact information

Practice address
10611 BRADDOCK RD, FAIRFAX, VA 22032-2201
(202) 265-0805
Mailing address
2776 S ARLINGTON MILL DR # 121, ARLINGTON, VA 22206-3402

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
FI5268405
VA

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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