# RAMIN RAZAVI, DMD INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063646669
- **Authorized official:** RAMIN RAZAVI D.M.D (PRESIDENT)
- **Authorized official phone:** (703) 288-0100

## Contact information

- **Practice address:** 6829 ELM ST, SUITE 320, MC LEAN, VA 22101-3884
- **Practice address phone:** (703) 288-0100
- **Practice address fax:** (703) 288-0557
- **Mailing address:** 6829 ELM ST, SUITE 320, MC LEAN, VA 22101-3884
- **Mailing address phone:** (703) 288-0100
- **Mailing address fax:** (703) 288-0557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401008270 | VA | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 05/11/2009