Individual
DR. MANA A BADIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8618 WESTWOOD CENTER DR, SUITE 109, VIENNA, VA 22182-2222
(703) 848-1999
Mailing address
8618 WESTWOOD CENTER DR, SUITE 109, VIENNA, VA 22182-2222
(703) 848-1999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410392
VA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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