Individual
DR. ALI NOSRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, MDS
Contact information
Practice address
5957 CENTREVILLE CREST LN, CENTREVILLE, VA 20121-2344
(703) 815-3636
Mailing address
5957 CENTREVILLE CREST LN, CENTREVILLE, VA 20121-2344
(703) 815-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401414938
VA
Other
Enumeration date
10/08/2012
Last updated
06/01/2016
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