Individual
DR. FARSHAD FARHOUMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
1500 CORNERSIDE BLVD, SUITE 500, TYSONS CORNER, VA 22182-2433
(703) 625-6229
Mailing address
1500 CORNERSIDE BLVD, SUITE 500, TYSONS CORNER, VA 22182-2433
(703) 625-6229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004998
VA
Other
Enumeration date
02/21/2007
Last updated
03/07/2014
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