Organization
DRS. CHRISTOPHER & FAVAGEHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRDAD FAVAGEHI DDS, M.S. (PERIODONTIST)
(703) 237-3700
Entity
Organization
Contact information
Practice address
313 PARK AVE, SUITE 103, FALLS CHURCH, VA 22046-3327
(703) 237-3700
(703) 237-3621
Mailing address
313 PARK AVE, SUITE 103, FALLS CHURCH, VA 22046-3327
(703) 237-3700
(703) 237-3621
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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