Organization
ELHAM SAFARI D.D.S., P.C.
Active
Other names
Herndon Family and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ELHAM SAFARI D.D.S. (OWNER)
(703) 787-7778
Entity
Organization
Contact information
Practice address
555 GROVE ST, SUITE 108, HERNDON, VA 20170-4705
(703) 787-7778
(571) 203-1390
Mailing address
555 GROVE ST, SUITE 108, HERNDON, VA 20170-4705
(703) 787-7778
(571) 203-1390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410994
VA
Other
Enumeration date
09/23/2007
Last updated
06/27/2008
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