DR. Reza Fardshisheh, DMD

NPI #1023213758 in Springfield, Virginia

Provider Information

NPI Number: 1023213758
Entity Type: Individual
Name: DR. Reza Fardshisheh, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Endodontics
Credential: DMD
Enumeration Date: Jun 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6120 BRANDON AVE STE 314
City: Springfield
State: Virginia
ZIP Code: 22150-2504
Phone: (703) 569-0002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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