Individual
DR. BAHARAK BAHRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8230 BOONE BLVD STE 100, VIENNA, VA 22182-2647
(703) 790-0800
(703) 790-0880
Mailing address
8230 BOONE BLVD STE 100, VIENNA, VA 22182-2647
(703) 790-0800
(703) 790-0880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412315
VA
Other
Enumeration date
10/29/2008
Last updated
02/09/2023
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