| Forough Parvizian-yazdani D.d.s. | |
|
212 Park St Se Vienna VA 22180-4655 | |
| (703) 938-0774 | |
| (703) 938-1025 |
| Full Name | Forough Parvizian-yazdani D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 212 Park St Se, Vienna, Virginia |
| Authorized Official Name and Position | Forough P Yazdani (OWNER) |
| Authorized Official Contact | 7039380774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forough Parvizian-yazdani D.d.s. 212 Park St Se Vienna VA 22180-4655 Ph: (703) 938-0774 | Forough Parvizian-yazdani D.d.s. 212 Park St Se Vienna VA 22180-4655 Ph: (703) 938-0774 |
| NPI Number | 1194950634 |
|---|---|
| Provider Enumeration Date | 05/28/2009 |
| Last Update Date | 05/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194950634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410415 (Virginia) | Primary |
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