Individual
DR. RAMAN K JASSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
112 ELDEN ST, SUITE #N, HERNDON, VA 20170-4874
(703) 787-9000
(703) 787-9000
Mailing address
112 ELDEN ST, SUITE #N, HERNDON, VA 20170-4874
(703) 787-9000
(703) 787-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006711
VA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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