Organization
JASON FARR FAVAGEHI DDC PC
Active
Other names
Tysons Corner Dental Art Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON FARR FAVAGEHI DDS (PRESIDENT)
(703) 356-1200
Entity
Organization
Contact information
Practice address
8304 C OLD COURT HOUSE RD, VIENNA, VA 22182
(703) 356-1200
(703) 356-6742
Mailing address
8304 C OLD COURT HOUSE RD, VIENNA, VA 22182
(703) 356-1200
(703) 356-6742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007352
VA
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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