# HARESS RAHIM, DMD PLLC

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

## Provider details

- **NPI number:** 1558692798
- **Authorized official:** DR. HARESS RAHIM DMD (DENTIST/OWNER)
- **Authorized official phone:** (703) 582-4151

## Contact information

- **Practice address:** 22855 BRAMBLETON PLZ, SUITE 208, ASHBURN, VA 20148-4870
- **Practice address phone:** (703) 582-4151
- **Mailing address:** 22855 BRAMBLETON PLZ, SUITE 208, ASHBURN, VA 20148-4870
- **Mailing address phone:** (703) 582-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401411135 | VA | Yes |

## Other

- **Enumeration date:** 01/28/2010
- **Last updated:** 01/28/2010