Organization
DR. MOJDEH VESSALI FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOJDEH VESSALI DDS (GENERAL DENTIST)
(703) 736-0900
Entity
Organization
Contact information
Practice address
505 HUNTMAR PARK DRIVE, #150, HERNDON, VA 20170
(703) 736-0900
(703) 736-0666
Mailing address
505 HUNTMAR PARK DR, #150, HERNDON, VA 20170-5103
(703) 736-0900
(703) 736-0666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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