Individual
DR. RABI A DANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1392 OLD BRIDGE RD, LAKE RIDGE, WOODBRIDGE, VA 22192-2708
(703) 490-9094
(703) 490-9096
Mailing address
41987 KUDU CT, ALDIE, VA 20105-3418
(703) 348-3324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410558
VA
Other
Enumeration date
09/12/2007
Last updated
03/09/2009
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