Organization
AMIR H TAVASSOLI DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR H TAVASSOLI DDS (DENTIST)
(804) 320-3683
Entity
Organization
Contact information
Practice address
9732 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4962
(804) 320-3683
Mailing address
9732 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4962
(804) 320-3683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189527
—
VA
Enumeration date
11/13/2023
Last updated
11/13/2023
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