Individual
RAZIEH KHODABAKHSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MDS
Contact information
Practice address
1425 S EADS ST, APT C, ARLINGTON, VA 22202
(914) 772-6928
Mailing address
7970 MAITLAND ST APT 109, MC LEAN, VA 22102-5158
(914) 772-6928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401420152
VA
1223X2210X
Orofacial Pain Dentistry
Primary
0401420152
VA
Other
Enumeration date
07/06/2026
Last updated
08/05/2026
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