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Organization

FAR SOLTANIAN MGMT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ADA CLEVINGER (OFFICE MANAGER)
(804) 270-5214
Entity
Organization

Contact information

Practice address
3944 SPRINGFIELD RD, GLEN ALLEN, VA 23060-4119
(804) 270-5214
Mailing address
3944 SPRINGFIELD RD, GLEN ALLEN, VA 23060-4119
(804) 270-5214
(804) 270-6046

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008668
VA

Other

Enumeration date
02/26/2018
Last updated
02/26/2018
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