Individual
ENSIYEH BATENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11115 BOWEN AVE, GREAT FALLS, VA 22066-1541
(571) 766-6188
Mailing address
11115 BOWEN AVE, GREAT FALLS, VA 22066-1541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418638
VA
Other
Enumeration date
03/06/2023
Last updated
01/15/2025
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