Elham Dehyar

NPI #1285293209 in Fairfax, Virginia

Provider Information

NPI Number: 1285293209
Entity Type: Individual
Name: Elham Dehyar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 12, 2019
Last Updated: Jun 12, 2019

Practice Location

Address: 12989 FAIR LAKES SHOPPING CTR
City: Fairfax
State: Virginia
ZIP Code: 22033-5177
Phone: (703) 222-1230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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