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Individual

FARNAZ YOUNESSIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3903 FAIR RIDGE DR STE 215, FAIRFAX, VA 22033-2945
(571) 559-1343
Mailing address
10610 CANFIELD ST, FAIRFAX, VA 22030-8155
(949) 527-8434

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401416814
VA

Other

Enumeration date
04/27/2021
Last updated
04/27/2021
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