Organization
F. IRAVANI DMD PLLC
Active
Other names
Tysons Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIDEM IRAVANI DMD (DENTIST/PROVIDER/OWNER)
(703) 848-8448
Entity
Organization
Contact information
Practice address
1964 GALLOWS RD, STE 220, VIENNA, VA 22182-3814
(703) 848-8448
(703) 848-8448
Mailing address
1964 GALLOWS RD, STE 220, VIENNA, VA 22182-3814
(703) 848-8448
(703) 848-8448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008961
VA
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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