Provider Demographics
NPI:1437598240
Name:BEHNAMI, FARIMA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:FARIMA
Middle Name:M
Last Name:BEHNAMI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 ELDEN ST STE 210
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4846
Mailing Address - Country:US
Mailing Address - Phone:703-709-0102
Mailing Address - Fax:
Practice Address - Street 1:209 ELDEN ST STE 210
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4846
Practice Address - Country:US
Practice Address - Phone:703-709-0102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414070122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist