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Organization
VIRGINIA DENTAL CARE
Active
Organization
VIRGINIA DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA FARRAHI DDS (MEMBER)
(703) 242-4555
Entity
Organization
Contact information
Practice address
301 MAPLE AVE W STE 300, VIENNA, VA 22180-4301
(703) 242-4555
Mailing address
301 MAPLE AVE W STE 300, VIENNA, VA 22180-4301
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401411906
VA
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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