# FAMILY AND COSMETIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154597573
- **Authorized official:** DR. NARJES ABTAHI (DENTIST)
- **Authorized official phone:** (703) 724-0015

## Contact information

- **Practice address:** 19420 GOLF VISTA PLZ STE 210, LEESBURG, VA 20176-8267
- **Practice address phone:** (703) 724-0015
- **Practice address fax:** (703) 724-0016
- **Mailing address:** 19420 GOLF VISTA PLAZA SUIT \# 210, LEESBURG, VA 20176
- **Mailing address phone:** (703) 724-0015
- **Mailing address fax:** (703) 724-0016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410795 | VA | Yes |

## Other

- **Enumeration date:** 05/06/2008
- **Last updated:** 05/06/2008