Individual
DR. TAIMOUR JAN RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11700 PLAZA AMERICA DR STE 140, RESTON, VA 20190-4753
(434) 249-3793
Mailing address
1366 SINGLETON LN, CHARLOTTESVILLE, VA 22903-8803
(434) 409-3893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411994
VA
Other
Enumeration date
11/08/2007
Last updated
08/31/2021
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