F. Iravani Dmd Pllc

NPI 1770591695 - Dentist - 122300000X

NPI Details
NPI 1770591695
Enumeration Date 08/04/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FARIDEM FARIDEM
Position DENTIST/PROVIDER/OWNER
Phone (703) 848-8448
Fax (703) 848-8448
Practice Location
1964 GALLOWS RD
STE 220
VIENNA VA, 22182-3814, US
Phone (703) 848-8448
Fax (703) 848-8448
Business Location
1964 GALLOWS RD
STE 220
VIENNA VA, 22182-3814, US
Phone (703) 848-8448
Fax (703) 848-8448
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 0401008961
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According to our database, F. Iravani Dmd Pllc NPI is 1770591695, taxonomy code is 122300000X and license number is 0401008961, license state is located at Virginia. F. Iravani Dmd Pllc physically located at 1964 Gallows Rd, Vienna VA, 22182-3814. NPI Number 1033115704 has the healthcare provider type.

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1770591695 NPI number is provided on an as is basis without warranty of any kind. 1770591695 is maintained by the National Plan & Provider Enumeration System. The contents of F. Iravani Dmd Pllc are for informational purposes only.