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1790209443
FARZIN GHANAVATI
WOODBRIDGE, VA
NPI
1790209443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401415788)
Enumeration Date
2017-08-02
Last Update Date
2022-07-21
Business Address
FARZIN GHANAVATI
14757 CANDLEWOOD CT
WOODBRIDGE, VA 22191-3107
Phone number: 310-208-9251
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Mailing Address
FARZIN GHANAVATI
14757 CANDLEWOOD CT
WOODBRIDGE, VA 22191-3107
Phone number: 310-208-9251
Copy
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