Organization
KANBARAGHA DDS PLLC
Active
Other names
Monarch Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF LIM (OFFICE MANAGER)
(703) 714-7374
Entity
Organization
Contact information
Practice address
8300 BOONE BLVD, SUITE 140, VIENNA, VA 22182
(703) 714-7374
Mailing address
8300 BOONE BLVD, SUITE 140, VIENNA, VA 22182
(703) 714-7374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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