# BARRY R. MAHARAJ, DDS & ANH H. PHAM, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lansdowne Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093889008
- **Authorized official:** MS. KAITI R GRIM CMOM (ADMINISTRATIVE DIRCT)
- **Authorized official phone:** (703) 723-7858

## Contact information

- **Practice address:** 19441 GOLF VISTA PLAZA, SUITE 130, LANSDOWNE, VA 20176
- **Practice address phone:** (703) 723-7858
- **Practice address fax:** (703) 723-7882
- **Mailing address:** 19441 GOLF VISTA PLAZA, SUITE 130, LANSDOWNE, VA 20176
- **Mailing address phone:** (703) 723-7858
- **Mailing address fax:** (703) 723-7882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401006304 | VA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401410305 | VA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401413171 | VA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 08/21/2013