Individual
DR. NIMA ABBASI-NAZARI KHORASSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7550
Mailing address
2205 SAINT BRIDES RD W, CHESAPEAKE, VA 23322-3303
(757) 800-5893
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401418360
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
050937
NY
Other
Enumeration date
02/01/2006
Last updated
06/30/2023
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