Organization
FOROUGH PARVIZIAN-YAZDANI D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOROUGH P YAZDANI D.D.S. (OWNER)
(703) 938-0774
Entity
Organization
Contact information
Practice address
212 PARK ST SE, VIENNA, VA 22180-4655
(703) 938-0774
(703) 938-1025
Mailing address
212 PARK ST SE, VIENNA, VA 22180-4655
(703) 938-0774
(703) 938-1025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410415
VA
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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