Individual
DR. NOUR GOWHARJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS,DMD
Contact information
Practice address
13350 FRANKLIN FARM RD, HERNDON, VA 20171-4091
(517) 549-8011
Mailing address
13350 FRANKLIN FARM RD, HERNDON, VA 20171-4091
(571) 549-8011
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401416169
VA
1223P0221X
Pediatric Dentistry
DF11038
MA
Other
Enumeration date
06/16/2015
Last updated
04/24/2021
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