Organization
MIRPANAH & FAZEL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB MIRPANAH DDS, MS (DENTIST)
(703) 650-8265
Entity
Organization
Contact information
Practice address
984 FIRST COLONIAL RD STE 200, VIRGINIA BEACH, VA 23454-3196
(757) 412-2235
Mailing address
9626 21ST BAY ST, NORFOLK, VA 23518-1609
(703) 650-8265
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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