Individual
HASHEM SEDAGHATPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5631 BURKE CENTRE PKWY STE D, BURKE, VA 22015-2234
(703) 250-5790
(703) 250-2935
Mailing address
5631 BURKE CENTRE PKWY STE D, BURKE, VA 22015-2234
(703) 250-5790
(703) 250-2935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401-007900
VA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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