Individual
TIRDAD FATTAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4840 MACARTHUR BLVD., NW, SUITE 101, WASHINGTON, DC 20007-2550
(202) 338-7499
(202) 338-8745
Mailing address
4840 MACARTHUR BLVD NW, SUITE 101, WASHINGTON, DC 20007-1565
(202) 338-7499
(202) 338-8745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4810
DC
Other
Enumeration date
09/26/2006
Last updated
09/24/2010
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