Jason Farr Favagehi Ddc PC

NPI #1588716534 in Vienna, Virginia

Provider Information

NPI Number: 1588716534
Entity Type: Organization
Organization Name: Jason Farr Favagehi Ddc PC
Primary Specialty: Dentist
Enumeration Date: Jan 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 8304 C OLD COURT HOUSE RD
City: Vienna
State: Virginia
ZIP Code: 22182
Phone: (703) 356-1200

Authorized Official

Name: DR. JASON FARR FAVAGEHI, DDS
Title: PRESIDENT
Phone: (703) 356-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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