Individual
DR. SEYED ALI MIRSAEIDE-FARAHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1775 MAIN ST. STE103, DUMFRIES, VA 22026
(703) 445-9022
(703) 445-9043
Mailing address
1775 MAIN ST. STE103, P.O.BOX 129, DUMFRIES, VA 22026
(703) 445-9022
(703) 445-9043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410502
VA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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