# PAMELA MARZBAN DDS PC

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

## Provider details

- **NPI number:** 1407913692
- **Authorized official:** PAMELA MARZBAN DDS, PC (SOLE PROPRIETOR PRESIDENT)
- **Authorized official phone:** (703) 323-8200

## Contact information

- **Practice address:** 8996 BURKE LAKE RD STE 101, BURKE, VA 22015-1607
- **Practice address phone:** (703) 323-8200
- **Practice address fax:** (703) 978-3679
- **Mailing address:** 8996 BURKE LAKE RD STE 101, BURKE, VA 22015-1607
- **Mailing address phone:** (703) 323-8200
- **Mailing address fax:** (703) 978-3679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | VA | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020