Eghtessad, Michael

Eghtessad, Michael is an individual health care provider with primary practice located at 44330 Premier Plz Ste 140 , Ashburn VA 20147-5071. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Eghtessad, Michael can be contacted via phone (703) 726-0333.

Contact Information

Primary practice address
44330 Premier Plz Ste 140 Ashburn VA 20147-5071
Phone: (703) 726-0333
Fax: (703) 726-0553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410302 Virginia

Profile Details

NPI number 1710044623
LBN Legal business name Eghtessad, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Nov 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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