Individual
FARANAK KHASRAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., D.M.D
Contact information
Practice address
4008 GENESEE PL, SUITE 205, WOODBRIDGE, VA 22192-8306
(703) 670-4888
(703) 670-6602
Mailing address
4008 GENESEE PL, SUITE 205, WOODBRIDGE, VA 22192-8306
(703) 670-4888
(703) 670-6602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410761
VA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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