Fardshisheh, Reza

Fardshisheh, Reza is an individual health care provider with primary practice located at 6120 Brandon Ave Ste 314 , Springfield VA 22150-2504. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Fardshisheh, Reza can be contacted via phone (703) 569-0002.

Contact Information

Primary practice address
6120 Brandon Ave Ste 314 Springfield VA 22150-2504
Phone: (703) 569-0002
Fax: (703) 569-8758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 0401411770 Virginia

Profile Details

NPI number 1023213758
LBN Legal business name Fardshisheh, Reza
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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