# EBRAHIM H. BARADARAN D.M.D. P.C.

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

## Provider details

- **NPI number:** 1073851960
- **Authorized official:** DR. EBRAHIM H BARADARAN D.M.D (OWNER)
- **Authorized official phone:** (804) 651-1515

## Contact information

- **Practice address:** 297 MARKET ST., SUITE 2, NEW CASTLE, VA 24127
- **Practice address phone:** (540) 864-5125
- **Practice address fax:** (540) 864-5377
- **Mailing address:** PO BOX 727, NEW CASTLE, VA 24127-0727
- **Mailing address phone:** (540) 864-5125
- **Mailing address fax:** (540) 864-5377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410423 | VA | Yes |

## Other

- **Enumeration date:** 01/28/2013
- **Last updated:** 01/28/2013