Provider Demographics
NPI:1659866846
Name:RASOOL, YASAMIN ABBASZADEH (DDS)
Entity Type:Individual
Prefix:DR
First Name:YASAMIN
Middle Name:ABBASZADEH
Last Name:RASOOL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3165 VIRGINIA BLUEBELL CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1851
Mailing Address - Country:US
Mailing Address - Phone:240-751-8592
Mailing Address - Fax:
Practice Address - Street 1:9006 CROWNWOOD CT
Practice Address - Street 2:UNIT A
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015
Practice Address - Country:US
Practice Address - Phone:703-672-6919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401416128122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist