# ELHAM SAFARI D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Herndon Family and Cosmetic Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972799922
- **Authorized official:** ELHAM SAFARI D.D.S. (OWNER)
- **Authorized official phone:** (703) 787-7778

## Contact information

- **Practice address:** 555 GROVE ST, SUITE 108, HERNDON, VA 20170-4705
- **Practice address phone:** (703) 787-7778
- **Practice address fax:** (571) 203-1390
- **Mailing address:** 555 GROVE ST, SUITE 108, HERNDON, VA 20170-4705
- **Mailing address phone:** (703) 787-7778
- **Mailing address fax:** (571) 203-1390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410994 | VA | Yes |

## Other

- **Enumeration date:** 09/23/2007
- **Last updated:** 06/27/2008