Individual
DR. KASRA KHAMOOSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 FALLS RD STE 301, POTOMAC, MD 20854-4103
(301) 983-2165
Mailing address
1844 FOXSTONE DR, VIENNA, VA 22182-2131
(571) 296-6419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401416647
VA
122300000X
Dentist
Primary
17095
MD
122300000X
Dentist
DN24564
FL
Other
Enumeration date
07/26/2019
Last updated
11/24/2025
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