Individual
DR. MANDANA GHASEMZADEH ZOLGHADR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
6082 FRANCONIA RD, SUITE B, ALEXANDRIA, VA 22310-4428
(703) 719-0064
(703) 719-9709
Mailing address
9710 MIDDLETON RIDGE RD, VIENNA, VA 22182-1497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007854
VA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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