Individual
DR. FARZANEH ROSTAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1145 19TH ST NW STE 777, WASHINGTON, DC 20036-3744
(022) 296-6600
Mailing address
4701 RANDOLPH RD STE G10, ROCKVILLE, MD 20852-2259
(301) 468-0020
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401413397
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN1001418
DC
Other
Enumeration date
06/08/2010
Last updated
10/10/2018
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