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Organization
F. IRAVANI DMD PLLC
Active
Organization
F. IRAVANI DMD PLLC
Active
Other names
Tysons Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIDEM IRAVANI DMD (DENTIST/PROVIDER/OWNER)
(703) 848-8448
Entity
Organization
Contact information
Practice address
1964 GALLOWS RD, STE 220, VIENNA, VA 22182-3814
(703) 848-8448
(703) 848-8448
Mailing address
1964 GALLOWS RD, STE 220, VIENNA, VA 22182-3814
(703) 848-8448
(703) 848-8448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008961
VA
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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