DR. Jason Farr Favagehi, DDS

NPI #1174764047 in Vienna, Virginia

Provider Information

NPI Number
1174764047
Entity Type
Individual
Name
DR. Jason Farr Favagehi, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Mar 23, 2009
Last Updated
Mar 23, 2009

Practice Location

Address
8304 OLD COURTHOUSE RD STE C
City
Vienna
ZIP Code
22182-3881
Phone
(703) 356-1200

Specialties & Taxonomy Codes

Specialty
Dentist

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