NPI 1023213758
Reza Fardshisheh, DMD
Practice location
- Address
- 6120 Brandon Ave STE 314, Springfield, VA 22150-2504
- Phone
- (703) 569-0002
- Fax
- (703) 569-8758
- Mailing address
- 11359 Sunset Hills Rd, Reston, VA 20190-5275
Registered specialties
Endodontics
Primary
Registry record
- NPI
- 1023213758
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Jun 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.