Jason Farr Favagehi DDS III PC

NPI #1780736355 in Chantilly, Virginia

Provider Information

NPI Number: 1780736355
Entity Type: Organization
Organization Name: Jason Farr Favagehi DDS III PC
Primary Specialty: Dentist
Enumeration Date: Jan 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 13655 A LEE JACKSON MEM HWY
City: Chantilly
State: Virginia
ZIP Code: 20151
Phone: (703) 263-7222

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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