Organization
JASON F FAVAGEHI DDS PC
Active
Other names
Rosslyn Dental Art Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FARR FAVAGEHI DDS (OWNER)
(703) 356-1200
Entity
Organization
Contact information
Practice address
1000 WILSON BLVD, SUITE M745, ARLINGTON, VA 22209
(703) 527-6453
(703) 527-8643
Mailing address
1000 WILSON BLVD, SUITE M745, ARLINGTON, VA 22209
(703) 527-6453
(703) 527-8643
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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