Individual
DR. ASHKAN GHAFFARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
100 CHURCH ST NE, VIENNA, VA 22180-4502
(703) 281-0466
Mailing address
100 CHURCH ST NE, VIENNA, VA 22180-4502
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
000000000
VA
Other
Enumeration date
08/29/2007
Last updated
05/25/2009
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