Mahvassh Foroutan Abreu, D.M.D

Individual provider Active NPI General Practice Dentistry · Washington, DC

NPI 1366467011 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1366467011
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5906 (DC)
Practice address
1712 I St NW
Suite 906
Washington, DC 20006-3702
Phone
(202) 496-0891
Fax
(202) 496-0894
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5906DCMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5906 DC Yes

Addresses

Primary practice location

1712 I St NW
Suite 906
Washington, DC 20006-3702

Mailing address

13508 Fallen Oak CT
Chantilly, VA 20151-2429
Phone (703) 961-9489

Other providers in Washington, DC

All providers in Washington, DC · General Practice Dentistry in District of Columbia

Sources for this page

Verify at the official NPI Registry.