Individual
DR. MITRA MORTAZAVI WESTOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1002 AMHERST ST STE B, WINCHESTER, VA 22601-3323
(540) 667-7600
Mailing address
1002 AMHERST ST STE B, WINCHESTER, VA 22601-3323
(540) 667-7600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413199
VA
Other
Enumeration date
06/12/2011
Last updated
09/15/2011
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