Provider Demographics
NPI:1922034206
Name:DARVISHIAN, ARAMESH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARAMESH
Middle Name:
Last Name:DARVISHIAN
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 1:12040 S LAKES DR
Mailing Address - Street 2:SUIT 200
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-1246
Mailing Address - Country:US
Mailing Address - Phone:571-232-1272
Mailing Address - Fax:703-880-7970
Practice Address - Street 1:12040 S LAKES DR
Practice Address - Street 2:SUIT 200
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1246
Practice Address - Country:US
Practice Address - Phone:571-232-1272
Practice Address - Fax:703-880-7970
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014107941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice