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Individual

PARDIS KHOSRAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3800 FAIRFAX DR STE 6, ARLINGTON, VA 22203-1703
(703) 249-4409
Mailing address
1837 PEABODY DR, FALLS CHURCH, VA 22043-1035
(571) 331-6563

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417577
VA

Other

Enumeration date
08/04/2021
Last updated
09/20/2022
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