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Mitra Khosravi
General Practice Dentistry in Manassas, Virginia
NPI 1689727950

Mitra Khosravi is a General Practice Dentistry based in Manassas, VA and is specialized in General Practice. Mitra Khosravi practices in Manassas, VA. The NPI Number for Mitra Khosravi is 1689727950 and holds a License No. 40140312 (Virginia).

The current practice location address for Mitra Khosravi is 7800 Sudley Rd, Manassas, VA and can be reached out via phone at 703-367-0599.

Location: 7800 Sudley Rd, Manassas, VA, 20109-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689727950
Provider Name
Mitra Khosravi
Credential
Provider Entity Type
Individual
Gender
Female
Address
7800 Sudley Rd, Manassas, VA, 20109-2804
Phone Number
703-367-0599
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7800 Sudley Rd
City
Manassas
State
Virginia
Zip
20109-2804
Phone Number
703-367-0599
Fax Number
person
Provider Business Mailing Address Details
Address
7800 Sudley Rd
City
Manassas
State
Virginia
Zip
20109-2804
Phone Number
703-367-0599
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
40140312 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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