Individual
DR. KOUROSH KIANPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46396 BENEDICT DR, SUITE 230, STERLING, VA 20164-6626
(703) 421-8988
Mailing address
46396 BENEDICT DR, SUITE 230, STERLING, VA 20164-6626
(703) 421-8988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410293
VA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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