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Individual

ABEER BASRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
613 ECHOLS ST SE, VIENNA, VA 22180-4830
(757) 739-2059
Mailing address
613 ECHOLS ST SE, VIENNA, VA 22180-4830
(857) 263-1503

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401419325
VA

Other

Enumeration date
02/21/2025
Last updated
02/21/2025
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