Organization
FLORA B. TAJALLI DDS PC
Active
Other names
Acclaim Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLORA B TAJALLI DDS (OWNER)
(703) 709-0102
Entity
Organization
Contact information
Practice address
209 ELDEN ST, SUITE 210, HERNDON, VA 20170-4852
(703) 709-0102
(703) 709-6916
Mailing address
209 ELDEN ST, SUITE 210, HERNDON, VA 20170-4852
(703) 709-0102
(703) 709-6916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008639
VA
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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