Organization
EBRAHIM H. BARADARAN D.M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBRAHIM H BARADARAN D.M.D (OWNER)
(804) 651-1515
Entity
Organization
Contact information
Practice address
297 MARKET ST., SUITE 2, NEW CASTLE, VA 24127
(540) 864-5125
(540) 864-5377
Mailing address
PO BOX 727, NEW CASTLE, VA 24127-0727
(540) 864-5125
(540) 864-5377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410423
VA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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