Individual provider · Type 1 NPI

Mitra Khosravi

General Practice Dentistry · Manassas, VA

NPI number 1689727950 Active

About NPI 1689727950

Mitra Khosravi's National Provider Identifier is 1689727950, issued on Jan 19, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Manassas, VA. The record was last updated on Jul 8, 2007.