Individual
DR. KHASHAYAR KORDBACHEH CHANGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
3543 W BRADDOCK RD STE E2, ALEXANDRIA, VA 22302-1903
(703) 820-0809
Mailing address
2500 WISCONSIN AVE NW APT 559, WASHINGTON, DC 20007-4513
(949) 424-4383
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401416202
VA
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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