F. Iravani Dmd Pllc

NPI #1770591695 in Vienna, Virginia

Provider Information

NPI Number: 1770591695
Entity Type: Organization
Organization Name: F. Iravani Dmd Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1964 GALLOWS RD
Address 2: STE 220
City: Vienna
State: Virginia
ZIP Code: 22182-3814
Phone: (703) 848-8448

Authorized Official

Name: DR. FARIDEM IRAVANI, DMD
Title: DENTIST/PROVIDER/OWNER
Phone: (703) 848-8448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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