Provider Demographics
NPI:1942420609
Name:VAFA, MEHRI (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:MEHRI
Middle Name:
Last Name:VAFA
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4808 MOORLAND LN
Mailing Address - Street 2:#107
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6110
Mailing Address - Country:US
Mailing Address - Phone:301-656-1400
Mailing Address - Fax:
Practice Address - Street 1:4808 MOORLAND LN
Practice Address - Street 2:#107
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6110
Practice Address - Country:US
Practice Address - Phone:301-656-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice