# FERESHTEH JARVANDI DDS PC

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

## Provider details

- **NPI number:** 1629700646
- **Authorized official:** FERESHTEH JARVANDI DDS (OWNER)
- **Authorized official phone:** (804) 271-9828

## Contact information

- **Practice address:** 4712 RICHMOND HWY STE A, RICHMOND, VA 23234-3162
- **Practice address phone:** (804) 271-9828
- **Practice address fax:** (804) 433-3107
- **Mailing address:** 4712 RICHMOND HWY STE A, RICHMOND, VA 23234-3162
- **Mailing address phone:** (804) 271-9828
- **Mailing address fax:** (804) 433-3107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2022
- **Last updated:** 06/28/2022
