Fair Lakes Dental

NPI #1548493885 in Fairfax, Virginia

Provider Information

NPI Number
1548493885
Entity Type
Organization
Organization Name
Fair Lakes Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 3, 2009
Last Updated
Sep 3, 2009

Practice Location

Address
12989 FAIR LAKES PKWY
ZIP Code
22033
Phone
(703) 222-1230

Authorized Official

Name
JOSEPH DEHYAR, D.M.D.
Title
OWNER
Phone
(703) 764-0650

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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