Azmoudeh, Roxanne

Azmoudeh, Roxanne is an individual health care provider with primary practice located at 44355 Premier Plz Ste 100 , Ashburn VA 20147-5050. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Azmoudeh, Roxanne can be contacted via phone (703) 858-9146.

Contact Information

Primary practice address
44355 Premier Plz Ste 100 Ashburn VA 20147-5050
Fax: (703) 858-9147
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410979 Virginia
Dental Providers / General Practice 1223G0001X 13395 Maryland

Profile Details

NPI number 1073715314
LBN Legal business name Azmoudeh, Roxanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers