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7115 Leesburg Pike, Suite 310
Nastaran Ejtemai, DDS, PC
These are the list of documents that are required at Dr. Ejtemai’s office.Please print them and take a few minutes to review them and fill the registration form out before your first visit.
HIPPA FormMedical History FormPatient RegistrationOffice Policy
8:00 AM-4:00 pm
11:00 am-7:00 pm
9:00 am-3:00 pm
(Every 2nd Saturday of the Month)