Individual
AMIR H TAVASSOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9732 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4962
(804) 320-3683
Mailing address
3017 MONTFORT LOOP, RICHMOND, VA 23294-5237
(703) 371-8180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413016
VA
Other
Enumeration date
10/14/2010
Last updated
01/20/2013
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