Individual
JASMINE MOHANDESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11921 ROCKVILLE PIKE STE 101, ROCKVILLE, MD 20852-2744
(301) 770-1555
Mailing address
8826 JARRETT VALLEY DR, VIENNA, VA 22182-1748
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
16818
MD
1223P0700X
Prosthodontics
401416836
VA
1223P0700X
Prosthodontics
DEN1002099
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2017
Last updated
08/21/2023
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