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1821308115
FARANAK GHALEHBAGHI
FAIRFAX, VA
NPI
1821308115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: VA 0401008254)
Enumeration Date
2010-10-20
Last Update Date
2010-10-20
Business Address
Dr. FARANAK GHALEHBAGHI DDS
10875 MAIN ST STE 105
FAIRFAX, VA 22030-4732
Phone number: 703-352-4121
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Mailing Address
Dr. FARANAK GHALEHBAGHI DDS
10875 MAIN ST STE 105
FAIRFAX, VA 22030-4732
Phone number: 703-352-4121
Copy
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