Individual
BASIONY TAHER HAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12699 LEE HWY, WASHINGTON, VA 22747-1931
(540) 987-9872
Mailing address
5054 TIBBITT LN, BURKE, VA 22015-1520
(703) 981-4694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412257
VA
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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