| Ghanbari & Koshki, Dds Pc | |
|
5727 Centre Square Dr Centreville VA 20120-1916 | |
| (703) 803-9200 | |
| (703) 803-9419 |
| Full Name | Ghanbari & Koshki, Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5727 Centre Square Dr, Centreville, Virginia |
| Authorized Official Name and Position | Kelly Ann Spicer (OFFICE MANAGER) |
| Authorized Official Contact | 7038039200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghanbari & Koshki, Dds Pc 5727 Centre Square Dr Centreville VA 20120-1916 Ph: (703) 803-9200 | Ghanbari & Koshki, Dds Pc 5727 Centre Square Dr Centreville VA 20120-1916 Ph: (703) 803-9200 |
| NPI Number | 1184644494 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184644494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | BG3069348 (Virginia) | Primary |
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