Ghalehbaghi, Faranak
Ghalehbaghi, Faranak is an sole proprietor health care provider with primary practice located at 10875 Main St Ste 105 , Fairfax VA 22030-4732. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Ghalehbaghi, Faranak can be contacted via phone (703) 352-4121.Contact Information
Primary practice address
10875 Main St Ste 105
Fairfax VA 22030-4732
Phone: (703) 352-4121
Fax: (703) 352-4122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 0401008254 | Virginia |
Profile Details
| NPI number | 1821308115 |
|---|---|
| LBN Legal business name | Ghalehbaghi, Faranak |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2010 |
| Last updated | Oct 20th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821308115 | NPPES |
| Virginia | MEDICAID | 1548359649 |
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