Individual provider · Type 1 NPI
Mahsasadat Mortazavi
Orthodontics and Dentofacial Orthopedics Dentistry · Burke, VA
Practice location
6505 Sydenstricker Rd Ste B
Burke, VA 22015-4282
Mailing address
1747 Tysons Central St Apt 2407
Vienna, VA 22182-6058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 0401417746 (VA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
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About NPI 1194450551
Mahsasadat Mortazavi's National Provider Identifier is 1194450551, issued on Jul 20, 2022. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Burke, VA. The record was last updated on Jul 20, 2022.