DR. Kouros Hedayati, DDS

NPI #1538322375 in Fairfax, Virginia

Provider Information

NPI Number: 1538322375
Entity Type: Individual
Name: DR. Kouros Hedayati, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 2, 2008
Last Updated: Dec 6, 2022

Practice Location

Address: 3545 CHAIN BRIDGE RD STE 105
City: Fairfax
State: Virginia
ZIP Code: 22030-2708
Phone: (703) 273-5545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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