Individual
AMIR FARHANG MAGHSOUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20955 PROFESSIONAL PLZ STE 110, ASHBURN, VA 20147-3405
(703) 723-0014
Mailing address
13981 DANCING TWIG DR, GAINESVILLE, VA 20155-1767
(703) 595-6195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418475
VA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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