| Hashem Sedaghatpour D.m.d. P.c. | |
|
5631 Burke Centre Pkwy Suite D Burke VA 22015-2234 | |
| (703) 250-5790 | |
| (703) 250-2935 |
| Full Name | Hashem Sedaghatpour D.m.d. P.c. |
|---|---|
| Speciality | Dentist |
| Location | 5631 Burke Centre Pkwy, Burke, Virginia |
| Authorized Official Name and Position | Hashem Sedaghatpour (OWNER) |
| Authorized Official Contact | 7032505790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hashem Sedaghatpour D.m.d. P.c. 5631 Burke Centre Pkwy Suite D Burke VA 22015-2234 Ph: (703) 250-5790 | Hashem Sedaghatpour D.m.d. P.c. 5631 Burke Centre Pkwy Suite D Burke VA 22015-2234 Ph: (703) 250-5790 |
| NPI Number | 1235551508 |
|---|---|
| Provider Enumeration Date | 01/06/2014 |
| Last Update Date | 01/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235551508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401007900 (Virginia) | Primary |
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