Individual
EBRAHIM H BARADARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 W MAIN ST, BERRYVILLE, VA 22611-1242
(804) 651-1515
(540) 955-4158
Mailing address
100 W MAIN ST, BERRYVILLE, VA 22611-1242
(804) 651-1515
(540) 955-4158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410423
VA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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