Individual
MONIREH VAHIDROUDSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7304 GEORGIA AVE NW, WASHINGTON, DC 20012-1758
(202) 545-1599
Mailing address
7304 GEORGIA AVE NW, WASHINGTON, DC 20012-1758
(202) 545-1599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5880
DC
Other
Enumeration date
01/08/2007
Last updated
03/07/2013
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