Kouros Hedayati, DDS, PLC
Kouros Hedayati, DDS, PLC is a General Practice Dentistry in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2017.
- Licensed in
- VA
- In the registry since
- 2017
Practice location Address checks out
3545 Chain Bridge Rd Ste 5Fairfax, VA 22030-2708
Phone: (703) 273-5545
Fax: (703) 591-8702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 0401412201 (VA) |
|---|
Record details
| NPI number | 1639603459 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kouros Hedayati — Owner/Dentist · (571) 225-1038 |
| Other names | Breeze Dental |
| NPI enumerated | April 18, 2017 |
| Last updated in NPPES | April 18, 2017 |
| Mailing address | 3545 Chain Bridge Rd Ste 5, Fairfax, VA 22030-2708 |
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