Reza Fardshisheh DMD

NPI 1023213758 - Dentist - 1223E0200X

NPI Details
NPI 1023213758
Gender Male
Enumeration Date 06/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6120 BRANDON AVE STE 314
SPRINGFIELD VA, 22150-2504, US
Phone (703) 569-0002
Fax (703) 569-8758
Business Location
11359 SUNSET HILLS RD
RESTON VA, 20190-5275, US
Phone (703) 437-6666
Fax (703) 435-8281
Toxanomy
Taxonomy Code 1223E0200X
License State Virginia
License Number 0401411770
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According to our database, Dr. Reza Fardshisheh DMD NPI is 1023213758, taxonomy code is 1223E0200X and license number is 0401411770, license state is located at Virginia. Reza Fardshisheh DMD physically located at 6120 Brandon Ave Ste 314, Springfield VA, 22150-2504. NPI Number Reza Fardshisheh DMD has the Individual type.

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1023213758 NPI number is provided on an as is basis without warranty of any kind. 1023213758 is maintained by the National Plan & Provider Enumeration System. The contents of Reza Fardshisheh DMD are for informational purposes only.