| Babak Razmazma Dds Inc | |
|
11654 Plaza America Dr 163 Reston VA 20190-4700 | |
| (818) 822-2278 | |
| Not Available |
| Full Name | Babak Razmazma Dds Inc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 11654 Plaza America Dr, Reston, Virginia |
| Authorized Official Name and Position | Babak Razmazma (OWNER) |
| Authorized Official Contact | 8188222278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Babak Razmazma Dds Inc 11654 Plaza America Dr 163 Reston VA 20190-4700 Ph: () - | Babak Razmazma Dds Inc 11654 Plaza America Dr 163 Reston VA 20190-4700 Ph: (818) 822-2278 |
| NPI Number | 1881134005 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881134005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | 0401415377 (Virginia) | Primary |
| 1223D0004X | Dentist - Dentist Anesthesiologist | DEN1001688 (District Of Columbia) | Secondary |
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