Organization
VIRGINIA DENTAL CARE @ BALLSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA FARRAHI (OWNER)
(703) 276-1010
Entity
Organization
Contact information
Practice address
915 N QUINCY ST, ARLINGTON, VA 22203-1907
(703) 276-1010
Mailing address
915 N QUINCY ST, ARLINGTON, VA 22203-1907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411906
VA
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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