Provider Demographics
NPI:1659045102
Name:HEJAZIFAR, NARMIN SADAT (DDS)
Entity Type:Individual
Prefix:DR
First Name:NARMIN SADAT
Middle Name:
Last Name:HEJAZIFAR
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 1:4 SOUR CHERRY CT
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4711
Mailing Address - Country:US
Mailing Address - Phone:703-894-7491
Mailing Address - Fax:
Practice Address - Street 1:4 SOUR CHERRY CT
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-4711
Practice Address - Country:US
Practice Address - Phone:703-894-7491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17533122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist