# ROUBEN A YEDIGARIAN

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

## Provider details

- **NPI number:** 1285813857
- **Authorized official:** DR. ROUBEN A YEDIGARIAN D.D.S. (D.D.S.)
- **Authorized official phone:** (703) 821-0882

## Contact information

- **Practice address:** 8371B GREENSBORO DR, MC LEAN, VA 22102-3529
- **Practice address phone:** (703) 821-0882
- **Practice address fax:** (703) 821-2187
- **Mailing address:** 8371B GREENSBORO DR, MC LEAN, VA 22102-3529
- **Mailing address phone:** (703) 821-0882
- **Mailing address fax:** (710) 821-2187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 401005564 | VA | — |
| 261QD0000X | Dental Clinic/Center | 0401005564 | VA | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 07/22/2008