| Ebrahim H. Baradaran D.m.d. P.c. | |
|
297 Market St. Suite 2 New Castle VA 24127 | |
| (540) 864-5125 | |
| (540) 864-5377 |
| Full Name | Ebrahim H. Baradaran D.m.d. P.c. |
|---|---|
| Speciality | Dentist |
| Location | 297 Market St., New Castle, Virginia |
| Authorized Official Name and Position | Ebrahim H Baradaran (OWNER) |
| Authorized Official Contact | 8046511515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebrahim H. Baradaran D.m.d. P.c. Po Box 727 New Castle VA 24127-0727 Ph: (540) 864-5125 | Ebrahim H. Baradaran D.m.d. P.c. 297 Market St. Suite 2 New Castle VA 24127 Ph: (540) 864-5125 |
| NPI Number | 1073851960 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 01/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073851960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401410423 (Virginia) | Primary |
Craig County Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Market Street, New Castle, VA 24127 Phone: 540-864-5556 |